Keaton Kristopher Allen, PA-C
Physician Assistant in Hickory, NC. Individual provider (NPI-1).
NPI number1477339224
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1477339224
- Entity type
- Individual (NPI-1)
- Name
- Keaton Kristopher Allen
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2023
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-13704 | NC | Yes |
Practice location
214 18th St SeHickory, NC 28602-1363
Phone 828-322-5172
Mailing address
4601 Park Rd Ste 300Charlotte, NC 28209-2290
Phone 704-323-2000
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