Individual
KRYSTEN DANIELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 N CENTRAL AVE, IDABEL, OK 74745-4647
(580) 245-7101
(580) 245-7102
Mailing address
9 N CENTRAL AVE, IDABEL, OK 74745-4647
(580) 245-7101
(580) 245-7102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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