Individual
MRS. KIM DUTRO ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 PUMPKIN RUN RD, PURLEAR, NC 28665-9203
(336) 973-4328
Mailing address
PO BOX 9804, GREENSBORO, NC 27429-0804
(336) 294-8091
(336) 294-8432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740236B
—
NC
Enumeration date
08/13/2010
Last updated
08/13/2010
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