NPI 1891821153 · live from the CMS NPI Registry
Kim S Allen, np
Nurse Practitioner, Pediatrics in El Dorado, AR. National Provider Identifier 1891821153, active.
NPI record
| NPI | 1891821153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 700 W Grove St, El Dorado, AR 71730 |
| Practice phone | 870-864-4100 |
| Mailing address | 11001 Executive Center Dr Ste 200, Little Rock, AR 72211 |
| Enumerated | February 23, 2007 |
| Last updated | June 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 220802 (AR) |
| Nurse Practitioner, Neonatal, Critical Care | 363LN0005X | 220802 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.