Individual
KEITH R ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
79 PETERS LN, WESTHAMPTON BEACH, NY 11978-1407
(631) 288-9512
Mailing address
79 PETERS LN, WESTHAMPTON BEACH, NY 11978-1407
(631) 288-9512
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
499468
NY
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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