Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0024174226 | VA |
NPI | 1174066633 |
---|---|
Provider Name | Kaya J Payne |
First Address | Floyd, VA 24091-5020 |
Second Address | Harrisonburg, VA 22801-8036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2016 |
Last Update Date | 19/01/2021 |