Provider Demographics
NPI:1386425650
Name:ALLEN, KERRY (DOULA)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22325 APOLLO DR NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6704
Mailing Address - Country:US
Mailing Address - Phone:360-536-5126
Mailing Address - Fax:
Practice Address - Street 1:22325 APOLLO DR NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-6704
Practice Address - Country:US
Practice Address - Phone:360-536-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty