Kelly Lynn Allen
Dental Assistant in Bedford, IN. Individual provider (NPI-1).
NPI number1346352747
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346352747
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lynn Allen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
2906 Evergreen DrBedford, IN 47421-5288
Phone 812-279-6455 · Fax 812-279-0130
Mailing address
2906 Evergreen DrBedford, IN 47421-5288
Phone 812-279-6455 · Fax 812-279-0130
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