| Doctor Name: | KATHLEEN A ALLES |
| NPI Number: | 1053420059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M |
| License Number: | E3764 |
| Business Practice Address: | 245 Mount Hermon Rd Suite M8 Scotts Valley, CA - 950664035 |
| Business Phone Number: | 8316096096 |
| Business Fax Number: | 8316096417 |
| Mailing Address: | 245 Mount Hermon Rd, Suite M8 SCOTTS VALLEY |
| State: | CA |
| Postal Code: | 950664035 |
| Phone Number: | 8316096096 |
| Fax Number: | 8316096417 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |