Allen, Leticia Kathryn

Allen, Leticia Kathryn is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allen, Leticia Kathryn can be contacted via phone (502) 633-4622.

Contact Information

Primary practice address
60 Mack Walters Rd Shelbyville KY 40065-1738
Phone: (502) 633-4622
Fax: (502) 633-6925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37109 Kentucky

Profile Details

NPI number 1437177797
LBN Legal business name Allen, Leticia Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 18th, 2018 - 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 1437177797 NPPES
Kentucky Other 000000226036 BLUE CROSS NUMBER
Kentucky MEDICAID 64050362 BLUE CROSS NUMBER
Kentucky Other 64050362 BLUE CROSS NUMBER

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