Individual
ALLEN R BOND
Active
Individual
ALLEN R BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25926
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244297
BCBS
KY
01
—
000000388619
BCBS
KY
05
—
0118679000
—
WV
05
—
0165146
—
OH
01
—
0730701
MEDICARE PTAN
—
01
—
300135825
RAILROAD MEDICARE
KY
05
—
64259260
—
KY
01
—
P00296753
RAILROAD MEDICARE
KY
Enumeration date
07/08/2005
Last updated
12/16/2021
Update your record
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