Individual
ERNEST RANDOLPH ALLEN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
211 COMMERCE ST, CADIZ, KY 42211-9225
(270) 522-3957
(270) 522-9000
Mailing address
PO BOX 671, CADIZ, KY 42211-0671
(270) 522-3957
(270) 522-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000453
—
KY
Enumeration date
11/04/2005
Last updated
07/08/2007
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