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Individual

DR. KEITH ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-6408
(402) 559-5737
Mailing address
985450 NEBRASKA MED CTR, OMAHA, NE 68198-5450
(402) 559-5756

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
245
NE
103TC0700X
Clinical Psychologist
245
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100252872
NE
Enumeration date
07/12/2006
Last updated
07/21/2022
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