Individual
KEVIN CEDRIC ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(618) 499-0562
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(618) 499-0562
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209010452
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
77327
MT
Other
Enumeration date
05/23/2013
Last updated
09/01/2015
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