| Doctor Name: | KAHTONNA CHARVET ALLEN |
| NPI Number: | 1285867101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., D.O. |
| License Number: | L1593644 |
| Business Practice Address: | 3851 Rodger Brooke Drive Botsford General Hospital Dept Of Medical Education Fort Sam Houston, TX - 78234 |
| Business Phone Number: | 2109165554 |
| Business Fax Number: | |
| Mailing Address: | 6502 Dancing Ct, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782441549 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2009 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L1593644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |