Provider Demographics
NPI:1912882408
Name:ALLEN, KAYLA (LM, CPM)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 PR PRARIE N
Mailing Address - Street 2:
Mailing Address - City:SHALLOWATER
Mailing Address - State:TX
Mailing Address - Zip Code:79363-2117
Mailing Address - Country:US
Mailing Address - Phone:806-786-4412
Mailing Address - Fax:
Practice Address - Street 1:6861 PR PRARIE N
Practice Address - Street 2:
Practice Address - City:SHALLOWATER
Practice Address - State:TX
Practice Address - Zip Code:79363-2117
Practice Address - Country:US
Practice Address - Phone:806-786-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99590176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife