NPI 1073955142

Tina B Allen, MAEDIECE

Practitioner Contractor Brandenburg, KY

Practice location

Address: 2125 Payneville Rd, Brandenburg, KY 40108-8601
Phone: (270) 668-2698

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 201104789 (KY)

Other Contractor providers in Kentucky →

Registry record

NPI: 1073955142
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2013
Record last updated: 18 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.