Individual
BRIAN L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5322
Mailing address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39522
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392965
ANTHEM
—
05
—
64120397
—
KY
Enumeration date
04/20/2006
Last updated
02/01/2022
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