Provider Demographics
NPI:1326197039
Name:EDWARDS, KATHRYN PAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:PAYNE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNION ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4219
Mailing Address - Country:US
Mailing Address - Phone:609-436-5740
Mailing Address - Fax:
Practice Address - Street 1:1 UNION ST STE 203
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-4219
Practice Address - Country:US
Practice Address - Phone:609-436-5740
Practice Address - Fax:609-436-5741
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242945208000000X, 207K00000X
PAMD462881207K00000X, 208000000X
NJ25MA10240200208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics