Provider Demographics
NPI:1861188419
Name:ALLEN, KAYLA N (DHA,MPH,PGCEPID,CHWC)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:N
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DHA,MPH,PGCEPID,CHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 NORTH LOOP WEST SUITE 500 PMB 716
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8830
Mailing Address - Country:US
Mailing Address - Phone:844-585-8700
Mailing Address - Fax:
Practice Address - Street 1:2950 NORTH LOOP WEST SUITE 500 PMB 716
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8830
Practice Address - Country:US
Practice Address - Phone:844-585-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254587171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach