| Organization Name: | ALLERGY INCORPORATED |
| NPI Number: | 1356672182 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN LEE LETZ (CEO) |
| Mailing Address: | 20518 W White Rock Rd Buckeye |
| State: | AZ US |
| Postal Code: | 853967750 |
| Phone Number: | 6509241174 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2010 |
| NPI Last Update Date: | 01/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |