| Doctor Name: | RITA WATSON ALLEN |
| NPI Number: | 1053789248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3009616 |
| Business Practice Address: | 476 Liberty Rd West Liberty, KY - 414722049 |
| Business Phone Number: | 6067433198 |
| Business Fax Number: | |
| Mailing Address: | 100 Airport Gardens Rd, HAZARD |
| State: | KY |
| Postal Code: | 417019529 |
| Phone Number: | 6064877503 |
| Fax Number: | 6064396987 |
| NPI Enumeration Date: | 09/04/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3009616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |