Cassandra Kay Payne-Durbin, RD

Individual provider Active NPI Registered Dietitian · Lewisport, KY

NPI 1356605000 · NPPES record last updated Jun 27, 2016

Key facts

NPI
1356605000
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1837 (KY)
Practice address
1520 4TH St
Lewisport, KY 42351-2529
Phone
(270) 922-8098
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1837 KY Yes

Addresses

Primary practice location

1520 4TH St
Lewisport, KY 42351-2529

Mailing address

PO Box 304
Lewisport, KY 42351-0304
Phone (270) 922-8098

Other identifiers

IdentifierTypeStateIssuer
1837OtherKYLICENSURE DIETITIAN

Other providers in Lewisport, KY

All providers in Lewisport, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.