Allen, Roger K

Allen, Roger K is an individual health care provider with primary practice located at 106 E Memorial Dr , Elizabethtown KY 42701-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Allen, Roger K can be contacted via phone (270) 769-6327.

Contact Information

Primary practice address
106 E Memorial Dr Elizabethtown KY 42701-2502
Phone: (270) 769-6327
Fax: (270) 769-1574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20484 Kentucky

Profile Details

NPI number 1164408514
LBN Legal business name Allen, Roger K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Feb 3rd, 2014 - about 10 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 1164408514 NPPES
Kentucky Other 000000064452 ANTHEM
Kentucky Other 070013536 ANTHEM
Kentucky Other 4643142 ANTHEM
Kentucky Other 1102843 ANTHEM
Kentucky Other 1194646 ANTHEM
Kentucky Other 2436324000 ANTHEM
Kentucky MEDICAID 64204845 ANTHEM

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