Individual
KEVIN L. ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3812 24TH ST, LUBBOCK, TX 79410-1814
(806) 793-7000
Mailing address
3812 24TH ST, LUBBOCK, TX 79410-1814
(806) 793-7000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H7685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033416102
—
TX
Enumeration date
09/11/2007
Last updated
06/02/2010
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