Individual
KENNETH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 HAMMOND AVE, MANSFIELD, OH 44902-7831
(419) 512-6499
Mailing address
275 HAMMOND AVE, MANSFIELD, OH 44902-7831
(419) 512-6499
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
KBA9323
OH
347C00000X
Private Vehicle
Primary
KBA9323
OH
376J00000X
Homemaker
KBA9323
OH
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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