Individual
KIM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 GRAND CHAMPION DR STE A1, ROCKVILLE, MD 20850-5798
(240) 229-8218
Mailing address
713 GRAND CHAMPION DR STE A1, ROCKVILLE, MD 20850-5798
(240) 229-8218
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
02274-25-A
MD
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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