Individual
MR. JON KENLY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4301 W MARKHAM ST, SLOT 639, LITTLE ROCK, AR 72205-7101
(501) 296-1682
(501) 686-5549
Mailing address
4301 W MARKHAM ST, SLOT 639, LITTLE ROCK, AR 72205-7101
(501) 296-1682
(501) 686-5549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-188
AR
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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