Payne, Roberta

Payne, Roberta is an individual health care provider with primary practice located at 2935 Dolphin Dr Bldg 21 , Elizabethtown KY 42701-4111. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Payne, Roberta can be contacted via phone (270) 737-5921.

Contact Information

Primary practice address
2935 Dolphin Dr Bldg 21 Elizabethtown KY 42701-4111
Phone: (270) 737-5921
Fax: (270) 982-0829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629479878
LBN Legal business name Payne, Roberta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Jul 6th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629479878 NPPES
Kentucky MEDICAID 1790731081
Kentucky Other 61-1010363

Popular Providers