Individual
MRS. KATIE DEANNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
Mailing address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
PA-1405
AR
208600000X
Surgery Physician
Primary
PA2188
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2019
Last updated
06/04/2026
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