Provider Demographics
NPI:1902200264
Name:PAYNE, KARI (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S WHITE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-2262
Mailing Address - Country:US
Mailing Address - Phone:319-385-6770
Mailing Address - Fax:319-385-6765
Practice Address - Street 1:407 S WHITE ST STE 103
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-2262
Practice Address - Country:US
Practice Address - Phone:319-385-6770
Practice Address - Fax:319-385-6765
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB108948176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAB108948OtherCMN LICENSE
IAB108948OtherARNP