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Individual

DR. WILLIAM R ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(859) 971-4695
(859) 971-4604
Mailing address
793 EASTERN BYP, STE 101, RICHMOND, KY 40475-2422
(859) 626-8645
(859) 626-8661

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20000
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64200009
KY
01
K191130
MEDICARE
KY
Enumeration date
06/22/2005
Last updated
12/09/2020
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