Allen, Keith Loren
Allen, Keith Loren is an individual health care provider with primary practice located at 411 Nichols Rd Suite 217, Kansas City MO 64112. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Allen, Keith Loren can be contacted via phone (816) 931-9912.Contact Information
Primary practice address
411 Nichols Rd Suite 217
Kansas City MO 64112
Phone: (816) 931-9912
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 01117 | Missouri |
Profile Details
NPI number | 1477615698 |
---|---|
LBN Legal business name | Allen, Keith Loren |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 14th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477615698 | NPPES |
Missouri | MEDICAID | 493202709 | |
Missouri | Other | 10800016 |
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