Individual
LINDA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5585
(270) 956-0303
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5585
(270) 956-0303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000013434
TN
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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