Individual
JOSEPH R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
746 CAMPBELL LN STE 101, BOWLING GREEN, KY 42104-1000
(270) 843-9510
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000654252
ANTHEM
KY
05
—
64306574
—
KY
Enumeration date
07/13/2005
Last updated
08/01/2024
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