Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | ||
N | 207QA0401X | Family Doctor - Addiction Medicine | 000000000 | OH |
NPI | 1538825476 |
---|---|
Provider Name | Mrs. Karen Elizabeth Allen |
First Address | Lancaster, OH 43130-4875 |
Second Address | Columbus, OH 43228-6491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2021 |
Last Update Date | 18/11/2021 |