Individual
KIMBERLY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 753-7111
Mailing address
115 VALLEY DR, SANTA FE, NM 87501-1163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP03174
NM
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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