Provider Demographics
NPI:1437981198
Name:ALLEN, JULIA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SPRING RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-9682
Mailing Address - Country:US
Mailing Address - Phone:859-595-8010
Mailing Address - Fax:
Practice Address - Street 1:1029 MONARCH ST STE 130
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1904
Practice Address - Country:US
Practice Address - Phone:859-595-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYL-314202163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant