Provider Information for 1396865242
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KRISTIN BROOKE ALLEN M.S.
Sex: Female
NPI: 1396865242
Last Updated: 2022-11-21
Certification Date: 2022-01-28
Certification Date: 2022-01-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396865242 | ||||||||||||
| Enumeration Date | 2007-03-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3526 TRILLIUM CT TALLAHASSEE, FL 32312-1717 United States Phone: 859-312-4195 | Fax: | ||||||||||||
| Primary Practice Address | 3526 TRILLIUM CT TALLAHASSEE, FL 32312-1717 United States Phone: 859-312-4195 | Fax: | ||||||||||||
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