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Individual
KATHLEEN ANN ALLEN
Active
Individual
KATHLEEN ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
200844
NC
363L00000X
Nurse Practitioner
063311
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200854
NC
Other
Enumeration date
06/06/2006
Last updated
01/27/2015
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