Individual
MRS. MARY JUSTINE PARROTT-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 E BROADWAY ST STE A, CAMPBELLSVILLE, KY 42718-1596
(270) 849-7207
(270) 465-0575
Mailing address
1320 E BROADWAY ST STE A, CAMPBELLSVILLE, KY 42718-1596
(270) 849-7207
(270) 592-0402
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
216378
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000578817
ANTHEM BLUE CROSS BLUE SHIELD
KY
Enumeration date
08/26/2008
Last updated
08/25/2021
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