Individual
KRISTINE RENAE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 704-1347
Mailing address
1675 W MONET DR, COEUR D ALENE, ID 83815-0467
(208) 704-1347
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
ID
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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