Provider Demographics
NPI:1780954974
Name:KITCHENS, ALLISON MEGAN (ACNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MEGAN
Last Name:KITCHENS
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MEGAN
Other - Last Name:MENDENHALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACNP
Mailing Address - Street 1:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2213
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:1001 N WALDROP DR
Practice Address - Street 2:509
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4705
Practice Address - Country:US
Practice Address - Phone:817-394-4300
Practice Address - Fax:817-394-0200
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX708002363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care