Provider Demographics
NPI:1659068716
Name:APPELL, ALLEN L (PHD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:L
Last Name:APPELL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2637
Mailing Address - Country:US
Mailing Address - Phone:415-308-9565
Mailing Address - Fax:
Practice Address - Street 1:527 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-2637
Practice Address - Country:US
Practice Address - Phone:415-308-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist