Individual provider · NPI-1

Kathleen Sally Allen, NP

Nurse Practitioner · Ann Arbor, MI

NPI number1073556619
StatusActive
Last updated in NPPESFeb 2, 2009

Details

NPI
1073556619
Entity type
Individual (NPI-1)
Name
Ms. Kathleen Sally Allen
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2006
Last updated
Feb 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4704219407MIYes
363LP0808X Nurse Practitioner, Psych/Mental Health4704219407MI

Practice location

1500 E Medical Center Dr
9th Floor University Hospital Recp D
Ann Arbor, MI 48109-5118

Phone 734-764-5348

Mailing address

3621 S State St
700 Kms Place
Ann Arbor, MI 48108

Phone 734-936-2047

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