Individual
MS. KATHRYN JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209004680
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
D046537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204213
MEDICARE GROUP
IL
01
—
P00388162
RAILROAD MEDICARE
IL
Enumeration date
07/05/2006
Last updated
04/03/2025
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