Individual
KILEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-1034
Mailing address
PO BOX 550, DEMOREST, GA 30535-0550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN302812
GA
Other
Enumeration date
05/24/2024
Last updated
10/14/2024
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