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Individual

JAMES E. ALLEN

Active
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Individual

JAMES E. ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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