Individual
DR. MARK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 S GREEN ST, HENDERSON, KY 42420-3517
(866) 680-2366
Mailing address
434 S GREEN ST, HENDERSON, KY 42420-3517
(866) 680-2366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259315
BCBS NUMBER
KY
01
—
4215
LICENSE NUMBER
KY
Enumeration date
11/09/2006
Last updated
07/08/2007
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