Individual
KENNETH S ALLISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-37111
KS
2085R0202X
Diagnostic Radiology Physician
234771
MA
2085R0202X
Diagnostic Radiology Physician
27766
NE
2085R0202X
Diagnostic Radiology Physician
53456
CO
2085R0202X
Diagnostic Radiology Physician
54275
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD15618
HI
2085R0202X
Diagnostic Radiology Physician
R1162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H0292923
HMSA HAWAII
HI
05
—
100257090-00
—
NE
05
—
100262773-00
—
NE
05
—
100262774-00
—
NE
05
—
100262776-00
—
NE
05
—
100262778-00
—
NE
05
—
1134398365
—
MT
05
—
1134398365
—
NM
05
—
1134398365
—
UT
05
—
1134398365
—
WY
05
—
201096030A
—
KS
05
—
74531735
—
CO
05
—
840597929-13
—
NE
05
—
840897126-00
—
NE
05
—
911135
—
AZ
Enumeration date
02/21/2008
Last updated
12/07/2022
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