Individual
KATHRYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN632889
PA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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