Basic Information
| Provider Information | |||||||||
| NPI: | 1598795635 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLABOUN | ||||||||
| FirstName: | KADRY | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2209 S STERLING ST STE 330 | ||||||||
| Address2: | |||||||||
| City: | MORGANTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286554093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285808100 | ||||||||
| FaxNumber: | 8285808101 | ||||||||
| Practice Location | |||||||||
| Address1: | 2209 S STERLING ST STE 330 | ||||||||
| Address2: | |||||||||
| City: | MORGANTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286554093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285808100 | ||||||||
| FaxNumber: | 8285808101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 03/12/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0402X | 2010-01170 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology |
No ID Information.