Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001224 | WA |
NPI | 1124167507 |
---|---|
Provider Name | Kathleen Ann Allen |
First Address | Carnation, WA 98014-1184 |
Second Address | Carnation, WA 98014-6324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 05/02/2014 |