Individual
DR. RAY E ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 PLAZA DRIVE, LIBERAL, KS 67901
(620) 624-5691
(620) 624-3656
Mailing address
P.O. BOX 1215, LIBERAL, KS 67905
(620) 624-5691
(620) 624-3656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-13069
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055971
BCBS OF KANSAS
KS
05
—
100082900B
—
KS
05
—
100202070A
—
OK
Enumeration date
03/23/2006
Last updated
09/08/2011
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