Individual
DR. KENNETH S ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 GRANDVIEW AVE, SUITE 101, WATERBURY, CT 06708
(203) 756-8911
(203) 574-0548
Mailing address
134 GRANDVIEW AVE, WATERBURY, CT 06708
(203) 756-8911
(203) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
026221
CT
2085U0001X
Diagnostic Ultrasound Physician
Primary
026221
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002627CT02
ANTHEM
—
01
—
060911608002
TRICARE
—
01
—
711609
CTCARE
—
01
—
OR0365
HEALTHNET
—
Enumeration date
04/28/2006
Last updated
09/11/2025
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