Individual
DAVID ALLEN
Active
Individual
DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321461
ANTHEM
KY
01
—
50001609
PASSPORT PORTLAND
KY
01
—
50001610
PASSPORT FD
KY
01
—
50001611
PASSPORT EB
KY
01
—
50001612
PASSPORT IQ
KY
01
—
50001614
PASSPORT PX
KY
01
—
50001926
PASSPORT ZE
KY
05
—
64209638
—
KY
Enumeration date
06/22/2005
Last updated
10/28/2016
Update your record
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