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Contact Information

KASSANDRA L PAYNE, DO
104 WALL ST
POTEAU, OK74953
 Phone: 918-647-8635
 Fax: 918-635-3191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KASSANDRA L PAYNE · (Female)

NPI # 1174903389
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/02/2015
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 5982
  • OK Medicaid 373479
Hospital affiliation(s)
  • SPARKS REGIONAL MEDICAL CENTER - (Acute Care)
    1001 TOWSON AVENUE
    FORT SMITH, AR 72902
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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