Individual
OLIVIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 12TH ARMOR DIVISION AVE # A, FORT KNOX, KY 40121-2125
(845) 705-7201
Mailing address
4334 12TH ARMOR DIVISION AVE # A, FORT KNOX, KY 40121-2125
(845) 705-7201
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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