Allen, Keisha L

Allen, Keisha L is an individual health care provider with primary practice located at 9879 Kentucky Route 122 , Mcdowell KY 41647-6042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Keisha L can be contacted via phone (606) 377-3427.

Contact Information

Primary practice address
9879 Kentucky Route 122 Mcdowell KY 41647-6042
Phone: (606) 377-3427
Fax: (606) 377-3369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1744 Kentucky

Profile Details

NPI number 1871843573
LBN Legal business name Allen, Keisha L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Nov 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871843573 NPPES
Kentucky MEDICAID 7100267780

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