Provider Demographics
NPI:1265166094
Name:ALLEN, KAREN BYRNES
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BYRNES
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 NORTH ST SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3530
Mailing Address - Country:US
Mailing Address - Phone:415-846-5895
Mailing Address - Fax:415-366-2094
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE B104
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3040
Practice Address - Country:US
Practice Address - Phone:480-993-2178
Practice Address - Fax:415-366-2094
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner