Individual
DR. BRIAN KENELM ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 BADGER ST, STUDENT HEALTH CENTER, LA CROSSE, WI 54601-1502
(608) 785-5104
(608) 785-5146
Mailing address
31355 COUNTY ROAD 1, LA CRESCENT, MN 55947-4280
(507) 643-6558
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28854
WI
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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