Individual
KENNETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RCP
Contact information
Practice address
97 SAN MARIN DR, NOVATO, CA 94945-1100
(415) 899-7891
Mailing address
97 SAN MARIN DR, NOVATO, CA 94945-1100
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21336
CA
Other
Enumeration date
12/03/2018
Last updated
01/03/2022
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