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NPI Code Detail

MEDICARE: KEATON PAYNE

MEDICARE: KEATON PAYNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184446601
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEATON PAYNE
Provider Business Mailing Address
First Line : 1395 E DUBLIN GRANVILLE RD STE 222K
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3338
Country : US
Telephone Number : 614-804-6003
Fax Number :
Provider Business Practice Location Address
First Line : 1395 E DUBLIN GRANVILLE RD STE 222K
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3338
Country : US
Telephone Number : 614-896-6003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “ KEATON PAYNE ” Practice Location

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