Individual
JAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 N 1ST ST, MOUND CITY, KS 66056-5279
(913) 795-8302
(913) 795-8002
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 240-5668
(620) 240-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-25875
KS
Other
Enumeration date
11/14/2005
Last updated
11/11/2024
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