Individual
RICHARD D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14755
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044923
ANTHEM PIN
KY
01
—
008962
SIHO- CTS
KY
05
—
060018526
—
KY
05
—
100388670A
—
IN
05
—
100388670B
—
IN
05
—
100388670C
—
IN
05
—
100388670F
—
IN
01
—
1056105
PASSPORT PIN
KY
01
—
2433831000
PASSPORT ADV PIN
KY
01
—
50013909
RAILROAD MEDICARE- CTS
KY
05
—
64147556
—
KY
01
—
P00992175
RAILROAD MEDICARE- NCVA
KY
Enumeration date
06/28/2006
Last updated
07/12/2016
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