Payne, Katherine J

Payne, Katherine J is an individual health care provider with primary practice located at 701 Ne 36Th St , Oklahoma City OK 73105-7203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Payne, Katherine J can be contacted via phone (405) 631-0611.

Contact Information

Primary practice address
701 Ne 36Th St Oklahoma City OK 73105-7203
Phone: (405) 631-0611
Fax: (405) 631-0811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1189 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1189 Oklahoma

Profile Details

NPI number 1710976071
LBN Legal business name Payne, Katherine J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 13th, 2014 - about 12 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 1710976071 NPPES
Oklahoma MEDICAID 200015710A

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