Individual
MR. KEVIN LINDSEY ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9442
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005623
GA
Other
Enumeration date
06/26/2012
Last updated
07/24/2017
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