Individual
DR. KIMBERLY D. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
29 DIRIGO DRIVE, BREWER, ME 04412-1600
(207) 942-2015
(207) 945-6528
Mailing address
29 DIRIGO DRIVE, BREWER, ME 04412-1600
(207) 942-2015
(207) 945-6528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT871
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061532
ANTHEM BLUE CROSS
ME
05
—
421870099
—
ME
Enumeration date
09/21/2006
Last updated
03/11/2020
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