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NPI Code Detail

MEDICARE: KRISTEN ALLEN PA-C

MEDICARE: KRISTEN ALLEN PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1912306150
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ALLEN PA-C
Provider Business Mailing Address
First Line : 325 MAINE ST
Second Line : MSO LIBRARY
City : LAWRENCE
State : KS
Zip : 66044-1360
Country : US
Telephone Number : 785-505-2988
Fax Number : 785-505-5228
Provider Business Practice Location Address
First Line : 4525 W 6TH ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-7700
Country : US
Telephone Number : 785-505-5160
Fax Number : 785-505-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 02/20/2026

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Directions to “ KRISTEN ALLEN PA-C” Practice Location

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