NPI 1629180229 · live from the CMS NPI Registry
Katherine S. Allen, P. A.
Physician Assistant, Surgical in Gainesville, GA. National Provider Identifier 1629180229, active.
NPI record
| NPI | 1629180229 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 1296 Sims St, Suite B, Gainesville, GA 30501 |
| Practice phone | 770-534-1856 |
| Mailing address | Po Box 742616, Atlanta, GA 30374 |
| Enumerated | August 31, 2006 |
| Last updated | December 7, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 1067363 (GA) |
| Physician Assistant, Surgical primary | 363AS0400X | 004534 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.