Allen, Kattie J

Allen, Kattie J is an individual health care provider with primary practice located at 901 Se Plaza Ave Suite 5, Bentonville AR 72712-5697. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Allen, Kattie J can be contacted via phone (479) 273-3376.

Contact Information

Primary practice address
901 Se Plaza Ave Suite 5 Bentonville AR 72712-5697
Phone: (479) 273-3376
Fax: (479) 273-3468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E7618 Arkansas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X E7618 Arkansas

Profile Details

NPI number 1033319686
LBN Legal business name Allen, Kattie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Nov 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033319686 NPPES
Minnesota Other P00665857 RAILROAD MEDICARE

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