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General NPI Number Information
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NPI Number | 1407311541
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Entity Type | Individual
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Provider Name | KERRI LYNN WALTON ALLEN AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2019
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 810 SAINT VINCENTS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1601
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Country | US
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Telephone | 205-930-2456
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Fax | 205-930-2469
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Provider Business Mailing Address
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Address Line | 730 COOL SPRINGS BLVD STE 500
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City | FRANKLIN
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State | TN
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Zip | 37067-7331
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Country | US
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Telephone | 773-292-4800
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Fax | 312-564-4059
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-129582
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-129582
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-129582
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-129582
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License Number State | AL
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