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Individual

WILLIAM B ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT,ATC

Contact information

Practice address
1623 S MAIN ST, FORT SCOTT, KS 66701-2656
(620) 223-4555
Mailing address
107 N PINE ST STE A, PO BOX 1539, PITTSBURG, KS 66762-4743
(620) 231-5855
(620) 231-5906

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03320
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140952
BCBS
KS
05
462987
KS
Enumeration date
08/31/2006
Last updated
12/06/2007
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