Allen, Kevin M

Allen, Kevin M is an individual health care provider with primary practice located at 175 S Union Blvd Suite 300, Colorado Springs CO 80910-3113. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allen, Kevin M can be contacted via phone (719) 365-1950.

Contact Information

Primary practice address
175 S Union Blvd Suite 300 Colorado Springs CO 80910-3113
Fax: (719) 365-1951
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1649 Colorado

Profile Details

NPI number 1508841545
LBN Legal business name Allen, Kevin M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Dec 8th, 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 1508841545 NPPES
Colorado MEDICAID 24779865

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