=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225245061
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIMBERLY GAIL ALLEN N.D., LMP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3636 NW BYRON ST SUITE #102
-----------------------------------------------------
City | SILVERDALE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98383-8541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-698-0494
-----------------------------------------------------
Fax | 360-698-0183
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6361 LARSON LN NW
-----------------------------------------------------
City | SEABECK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98380-9699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-710-3320
-----------------------------------------------------
Fax | 360-698-0183
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171W00000X
-----------------------------------------------------
Taxonomy Name | Contractor
-----------------------------------------------------
License Number | MA00014936
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | NT00001342
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------