Individual
DR. PATRICK JOSEPH ALLEN
Active
Individual
DR. PATRICK JOSEPH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-25758
KS
207Q00000X
Family Medicine Physician
3103
OK
207R00000X
Internal Medicine Physician
Primary
11254A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047685
BLUE CROSS BLUE SHIELD
SC
01
—
100045920B
OKLHAOMA MEDICAID
OK
05
—
100235910A
—
KS
01
—
110105943
TRAVELERS MEDICARE
KS
Enumeration date
01/09/2006
Last updated
11/04/2019
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