Individual
MRS. KIMBERLY LYNNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 927-6252
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 927-6252
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
648241
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
648241
TX
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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