Individual
MRS. KATHRYN CARTER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 NICHOLASVILLE RD STE 304, LEXINGTON, KY 40503-2526
(859) 277-5771
(859) 276-4622
Mailing address
2101 NICHOLASVILLE RD STE 304, LEXINGTON, KY 40503-2526
(859) 277-5771
(859) 276-4622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA 1025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000581022
ANTHEM PIN
KY
01
—
9124408
AETNA PIN
KY
Enumeration date
01/10/2007
Last updated
12/09/2020
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