Individual
KATHLEEN A ALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
245 MOUNT HERMON RD, SUITE M8, SCOTTS VALLEY, CA 95066-4035
(831) 609-6096
(831) 609-6417
Mailing address
245 MOUNT HERMON RD, SUITE M8, SCOTTS VALLEY, CA 95066-4035
(831) 609-6096
(831) 609-6417
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0015210
RAILROAD MEDICARE
CA
Enumeration date
08/30/2006
Last updated
10/22/2013
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