Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 4445 | KS |
NPI | 1003175779 |
---|---|
Provider Name | Allyson Nicole Krehbiel |
First Address | Newton, KS 67114-0467 |
Second Address | Hillsboro, KS 67063-0185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 07/02/2020 |