Individual provider · NPI-1

Kaylynn Allen

Case Manager/Care Coordinator · Fargo, ND

NPI number1194525725
StatusActive
Last updated in NPPESMar 13, 2025

Details

NPI
1194525725
Entity type
Individual (NPI-1)
Name
Kaylynn Allen
Sex
Female
Sole proprietor
No
Enumeration date
Mar 13, 2025
Certification date
Mar 13, 2025
Last updated
Mar 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
175T00000X Peer Specialist––

Practice location

417 Main Ave Ste 401
Fargo, ND 58103-1956

Phone 701-289-7676

Mailing address

417 Main Ave Ste 401
Fargo, ND 58103-1956

Phone 701-289-7676

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