Krysten Danielle Allen

Individual provider Active NPI Case Manager/Care Coordinator · Idabel, OK

NPI 1770103392 · NPPES record last updated Apr 23, 2020

Key facts

NPI
1770103392
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
9 N Central Ave
Idabel, OK 74745-4647
Phone
(580) 245-7101
Fax
(580) 245-7102
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

9 N Central Ave
Idabel, OK 74745-4647

Mailing address

9 N Central Ave
Idabel, OK 74745-4647
Phone (580) 245-7101

Other providers in Idabel, OK

All providers in Idabel, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.