Individual
DR. KAREN DENISE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 TANK FARM RD, SAN LUIS OBISPO, CA 93401-7068
(805) 543-4488
(805) 543-6271
Mailing address
715 TANK FARM RD, SAN LUIS OBISPO, CA 93401-7068
(805) 543-4488
(805) 543-6271
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A64792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015255
RAILROAD MEDICARE
CA
Enumeration date
07/29/2005
Last updated
10/10/2012
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