Kim S Allen, NP
Individual provider Active NPI Pediatric Nurse Practitioner · El Dorado, AR
NPI 1891821153 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1891821153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 220802 (AR)
- Practice address
- 700 W Grove St
El Dorado, AR 71730-4416 - Phone
- (870) 864-4100
- Fax
- (870) 864-3555
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11001 Executive Ctr Dr
Suite 200
Little Rock, AR 72211-4393
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03711 | LA | MD | Critical Care Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 220802 | AR | Yes |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 220802 | AR |
Addresses
Primary practice location
700 W Grove St
El Dorado, AR 71730-4416
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (870) 864-4100
Other providers in El Dorado, AR
- Raymond D Adams
- Addus Health Care Inc
- Advanced Nursing and Rehab of El Dorado LLC
- Brittany Christine Alexander
- All Home Medical & Diabetic Supplies
- Tenisha Allen
- Allie Breanne Alspaugh
- Alternative Opportunities
- Janna M Alvarez
- Amy Burns, LPC, Inc
All providers in El Dorado, AR · Pediatric Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. 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.
- Order and Referring (CMS).
- 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.