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NPI Code Detail

MEDICARE: MRS. KIMBERLY K ALLEN DO

MEDICARE: MRS. KIMBERLY K ALLEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician155NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275616492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY K ALLEN DO
Provider Business Mailing Address
First Line : PO BOX 1066
Second Line : 4508 38TH STREET SUITE 165
City : COLUMBUS
State : NE
Zip : 68602
Country : US
Telephone Number : 402-564-7200
Fax Number : 402-564-7210
Provider Business Practice Location Address
First Line : 3775 45TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4427
Country : US
Telephone Number : 402-564-7200
Fax Number : 402-564-7210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 05/30/2012

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