Kayla Allen, D.C.
Individual provider Active NPI Chiropractor · Clovis, NM
NPI 1659924694 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1659924694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC2220 (NM)
- Practice address
- 1825 W 21St St
Clovis, NM 88101-4023 - Phone
- (575) 935-5560
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hazen Chiropractic Center
Practice addresses (Care Compare)
1825 W 21St St
Clovis, NM 88101-4023
Phone (575) 935-5560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190814003438 | NM | Practitioner - Chiropractic | 9931436862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2220 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazen Chiropractic Center | Current |
Accepting new patients |
Locations
1825 W 21st St
Clovis, NM 88101
Phone (505) 762-7676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2220 | NM | Yes |
Addresses
Primary practice location
1825 W 21St St
Clovis, NM 88101-4023
Mailing address
1825 W 21St St
Clovis, NM 88101-4023
Phone (575) 935-5560
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.