Provider Demographics
NPI:1922886498
Name:ALLEN, KAREN KNIGHT (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:KNIGHT
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4208 MILLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1736
Mailing Address - Country:US
Mailing Address - Phone:770-366-9945
Mailing Address - Fax:
Practice Address - Street 1:3720 DAVINCI CT STE 250
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-7621
Practice Address - Country:US
Practice Address - Phone:770-366-9945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP003433235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist