Provider Demographics
NPI:1447287958
Name:PAYLO, KATE E (DO)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:E
Last Name:PAYLO
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5914
Mailing Address - Country:US
Mailing Address - Phone:229-241-8925
Mailing Address - Fax:
Practice Address - Street 1:2804 N OAK ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-5914
Practice Address - Country:US
Practice Address - Phone:229-241-8925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA833392081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2979344Medicaid
PA102399173Medicaid
PA102399173Medicaid
PA2131016Medicare PIN