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Contact Information

NAOMI PHAYNE, DPM
650 JOEL DRIVE
PODIATRY CLINIC
FORT CAMPBELL, KY42223
 Phone: 270-798-8638
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NAOMI PHAYNE · (Female)

NPI Number 1326038803
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/25/2005
Last updated 09/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 01395
Hospital affiliation(s) Not Available
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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