Kattie J Allen
Dermatologist MOHS-Micrographic Surgeon
901 Se Plaza Ave Suite 5
Bentonville
, Arkansas 72712-5697
Kattie J Allen
Dermatologist MOHS-Micrographic Surgeon
901 Se Plaza Ave Suite 5
Bentonville
, Arkansas 72712-5697
(479) 273-3468
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Kattie J Allen
- 901 Se Plaza Ave Suite 5
- Bentonville, AR
- Zip : 72712-5697
- Fax : (479) 273-3468
- Phone : (479) 273-3376
Second Address
- Kattie J Allen
- 901 Se Plaza Ave Suite 5
- Bentonville, AR
- Zip : 72712-5697
- Fax : (479) 273-3468
- Phone : (479) 273-3376
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | E7618 | AR |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | E7618 | AR |
National Provider Identifier
| NPI | 1033319686 |
|---|---|
| Provider Name | Kattie J Allen |
| First Address | Bentonville, AR 72712-5697 |
| Second Address | Bentonville, AR 72712-5697 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2007 |
| Last Update Date | 19/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00665857 | RAILROAD MEDICARE (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.