Individual
KRISTOPHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6924 ASH ST, SHREVEPORT, LA 71129-9478
(318) 573-9886
Mailing address
6924 ASH ST, SHREVEPORT, LA 71129-9478
(318) 573-9886
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN146974
LA
Other
Enumeration date
07/09/2019
Last updated
11/27/2023
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