Payne, Penny Rae

Payne, Penny Rae is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 320 , Paducah KY 42003-7942. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Payne, Penny Rae can be contacted via phone (270) 415-3830.

Contact Information

Primary practice address
1532 Lone Oak Rd Ste 320 Paducah KY 42003-7942
Phone: (270) 415-3830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA769 Kentucky

Profile Details

NPI number 1578668455
LBN Legal business name Payne, Penny Rae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578668455 NPPES
Kentucky MEDICAID 95006011

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