| Doctor Name: | MISS KANDACE DANIELLE ALLEN |
| NPI Number: | 1003073990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1722 |
| Business Practice Address: | 111 Fieldstone Dr Ste 114 Milledgeville, GA - 310617106 |
| Business Phone Number: | 7063198762 |
| Business Fax Number: | 7069993221 |
| Mailing Address: | 251 Corral Rd Ne, MILLEDGEVILLE |
| State: | GA |
| Postal Code: | 310618233 |
| Phone Number: | 9126565528 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |