Individual
E KEITH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6911 C AVE NE, CEDAR RAPIDS, IA 52402-1349
(319) 832-1463
(319) 832-1469
Mailing address
6911 C AVE NE, CEDAR RAPIDS, IA 52402-1349
(319) 832-1463
(319) 832-1469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000948
IA
Other
Enumeration date
12/15/2005
Last updated
10/19/2007
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