Individual
MISS ALLISON NICOLE BIRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
Mailing address
418 IRISH CIR, HOPKINSVILLE, KY 42240-3869
(706) 691-4332
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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