Individual
ALLISON MICHELLE KANAVALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 93307-9901
(661) 322-3905
Mailing address
815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 93307-9901
(661) 322-3905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027913
CA
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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