Individual
KIMBERLY C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1004 SURREY ST, LAFAYETTE, LA 70501-6143
(337) 456-6768
(337) 456-8690
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07726
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365576
—
LA
Enumeration date
05/20/2014
Last updated
10/17/2019
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