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Individual

DR. KEITH BLAINE ALLEN

Active
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Individual

DR. KEITH BLAINE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01046628A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-32311
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2007010370
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100376070A
IN
05
30004449650003
KY
05
PENDING
MO
Enumeration date
06/28/2006
Last updated
11/19/2025
About Stedi
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