Individual
DR. KATHERINE FEDERLINE ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 322-2994
Mailing address
500 S GREER ST, MEMPHIS, TN 38111-3212
(901) 219-9252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42664
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03170013
—
MS
05
—
165578001
—
AR
05
—
208332106
—
MO
05
—
3000460
—
TN
01
—
4159066
BCBS TN
TN
01
—
84616
BCBS AR
AR
01
—
9813049
AETNA
TN
Enumeration date
05/31/2007
Last updated
11/18/2010
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