Individual
KENT R ALLEN
Active
Individual
KENT R 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
32403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84464801
—
AZ
01
—
AZ07245480
BCBS
AZ
01
—
P00110674
RR MEDICARE
AZ
Enumeration date
03/28/2006
Last updated
11/07/2007
Update your record
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