Basic Information
Provider Information
NPI: 1356635924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: ALANA
MiddleName: BLAINE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KEKEVIAN
OtherFirstName: ALANA
OtherMiddleName: BLAINE
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: DO
OtherLastNameType: 1
Mailing Information
Address1: 1600 ROCKLAND RD
Address2: DIVISION OF ALLERGY
City: WILMINGTON
State: DE
PostalCode: 19803
CountryCode: US
TelephoneNumber: 3026514321
FaxNumber: 3026514945
Practice Location
Address1: 1600 ROCKLAND RD
Address2: DIVISION OF ALLERGY
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514321
FaxNumber: 3026516885
Other Information
ProviderEnumerationDate: 06/01/2011
LastUpdateDate: 08/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X0T014135PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0201XC20011665DEN Allopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
2080P0201X25MB09889400NJY Allopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology

No ID Information.


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