Allen, Keith R.

Allen, Keith R. is an individual health care provider with primary practice located at 2115 S Fremont Ave Ste 5000, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Allen, Keith R. can be contacted via phone (417) 820-3960.

Contact Information

Primary practice address
2115 S Fremont Ave Ste 5000 Springfield MO 65804-2239
Phone: (417) 820-3960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2013025450 Missouri

Profile Details

NPI number 1134186901
LBN Legal business name Allen, Keith R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 8th, 2019 - about 6 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 1134186901 NPPES
Missouri MEDICAID 1134186901
Missouri Other P01222589
Missouri MEDICAID 199362001
Missouri Other 431560263

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