Kiah Allen, APNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Oconomowoc, WI
NPI 1508477142 · NPPES record last updated Aug 17, 2020
Key facts
- NPI
- 1508477142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1027933 (WI)
- Practice address
- 34700 Valley Rd
Oconomowoc, WI 53066-4500 - Phone
- (262) 305-5239
- NPI assigned
- Aug 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027933 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellbrook Recovery Brookfield LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1027933 | WI | Yes |
Addresses
Primary practice location
34700 Valley Rd
Oconomowoc, WI 53066-4500
Mailing address
34700 Valley Rd
Oconomowoc, WI 53066-4500
Other providers in Oconomowoc, WI
- Aimee Metzger Psychotherapy LLC
- Carey Lynn Alber
- Allegiance Medical, Inc.
- Abby Jean Allen
- Charles Edward Allen Jr.
- Alliance Health Services S.C.
- Amanda Donath Psychological Services S C
- Julie Amtmann
- Alicia Marie Anderson
- Ellen L Anderson
All providers in Oconomowoc, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.