Individual
KIMBERLY RENEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
(850) 769-6003
Mailing address
7766 BETTY LOUISE DR, PANAMA CITY, FL 32404-8558
(808) 398-7295
(850) 769-6003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019867200
—
FL
Enumeration date
01/27/2014
Last updated
02/06/2019
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