Individual
JAMES E. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217-9414
(913) 588-8400
(913) 588-8413
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-15421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406200A
—
KS
01
—
460451
FHP
—
01
—
481159444
TAX ID
—
01
—
7180676
AETNA
—
01
—
P00348262
RR MEDICARE
KS
Enumeration date
10/17/2006
Last updated
09/13/2011
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