Individual
JAMES KENNETH ALLEN
Active
Individual
JAMES KENNETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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