Individual
MR. KELLEN J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
922 NORTH A ST, ELGIN, OK 73538
(580) 699-5455
(580) 215-4991
Mailing address
1354 NW HOMESTEAD DR, LAWTON, OK 73505-5223
(580) 699-5455
(580) 215-4991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5111
OK
Other
Enumeration date
08/26/2020
Last updated
09/08/2020
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