Individual
DAVID L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Mailing address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02001495A
IN
207P00000X
Emergency Medicine Physician
Primary
02473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000535507
BCBS FOR MIDDLETOWN
OH
05
—
200058460
—
IN
05
—
2126765
—
OH
05
—
64024730
—
KY
Enumeration date
07/17/2006
Last updated
05/23/2022
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