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
Phone: (719) 365-1950
Fax: (719) 365-1951
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508841545 | NPPES |
Colorado | MEDICAID | 24779865 |
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