Individual
KYLE R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2424 VALHALLA CT, XENIA, OH 45385-8906
(330) 606-1971
Mailing address
2424 VALHALLA CT, XENIA, OH 45385-8906
(330) 606-1971
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0102202933
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34.004461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821058736
—
VA
Enumeration date
03/24/2006
Last updated
11/30/2022
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