Provider Demographics
NPI:1922006386
Name:ALLEN, KAYE B (CRNA)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:B
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KAYE
Other - Middle Name:B
Other - Last Name:HIGNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNC
Mailing Address - Street 1:2600 N ELM ST
Mailing Address - Street 2:BRENDA HESTER
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3011
Mailing Address - Country:US
Mailing Address - Phone:910-671-5290
Mailing Address - Fax:910-738-3764
Practice Address - Street 1:300 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3075
Practice Address - Country:US
Practice Address - Phone:910-671-5000
Practice Address - Fax:910-738-3764
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC068161367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8051626Medicaid
NC8051626Medicaid