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Organization

ALLEN FAMILY CLINIC PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TREVOR JONES ARNP (OWNER)
(606) 874-1444
Entity
Organization

Contact information

Practice address
27 BALLPARK ST, ALLEN, KY 41601
(606) 874-1444
(606) 874-1446
Mailing address
PO BOX 262, ALLEN, KY 41601-0262
(606) 874-1444
(606) 874-1446

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3251P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78013828
KY
Enumeration date
09/08/2008
Last updated
09/08/2008
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