Individual
JAMES KENNETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-7601
Mailing address
234 E GRAY ST, SUITE 850, LOUISVILLE, KY 40202-1900
(502) 585-1735
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050037
BC BS
KY
01
—
000000308613
BC BS
KY
05
—
100347090A
—
IN
01
—
1051832
PASSPORT
KY
01
—
50005982
PASSPORT
KY
05
—
64169055
—
KY
05
—
641690550
—
KY
Enumeration date
07/11/2005
Last updated
03/04/2008
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