Individual
DR. TIMOTHY EDWARD ALLEN
Active
Individual
DR. TIMOTHY EDWARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
418064
KS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
04-18064
KS
2085R0204X
Vascular & Interventional Radiology Physician
19074
NE
2085R0204X
Vascular & Interventional Radiology Physician
R8150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052499
BC/BS PREMIER BLUE
KS
05
—
100129410C
—
KS
Enumeration date
06/30/2006
Last updated
07/28/2016
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