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Individual

KRISTINA DIANE ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3613 SC-153, POWDERSVILLE, SC 29611
(864) 207-4257
Mailing address
506 BIRCHBARK CT, SENECA, SC 29672-0784
(864) 888-3235

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/19/2019
Last updated
01/09/2020
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