Individual
KEVIN P ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 MEDICAL CENTER DR, SUITE 110, NEWTON, KS 67114-9013
(316) 283-0113
(316) 283-6401
Mailing address
700 MEDICAL CENTER DR, SUITE 110, NEWTON, KS 67114-9013
(316) 283-0113
(316) 283-6401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-33342
KS
207W00000X
Ophthalmology Physician
200300114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801901780
MEDICARE
KS
05
—
200590310C
—
KS
Enumeration date
08/20/2006
Last updated
01/08/2016
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