Individual
MR. KENNETH J ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2277 BUFFINGTON RD., BOAZ, AL 35956
(256) 840-6352
Mailing address
2277 BUFFINGTON RD., BOAZ, AL 35956
(256) 840-6352
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
3599
AL
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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