Provider Demographics
NPI:1003120239
Name:ALLEN, KRISTEN ELENA
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ELENA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:ELENA
Other - Last Name:CARBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8434 SAND CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1090
Mailing Address - Country:US
Mailing Address - Phone:443-929-0817
Mailing Address - Fax:
Practice Address - Street 1:8434 SAND CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1090
Practice Address - Country:US
Practice Address - Phone:443-929-0817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management