Individual
VIRGINIA CLAIRE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4963 W. 135TH ST., LEAWOOD, KS 66224
(913) 814-8222
(913) 897-5574
Mailing address
4963 W. 135TH ST., LEAWOOD, KS 66224
(913) 814-8222
(913) 897-5574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501459
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385002700
—
IL
Enumeration date
11/10/2010
Last updated
01/30/2014
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