Allen, William R

Allen, William R is an individual health care provider with primary practice located at 4071 Tates Creek Centre Dr Suite 202, Lexington KY 40517-3062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Allen, William R can be contacted via phone (859) 971-4695.

Contact Information

Primary practice address
4071 Tates Creek Centre Dr Suite 202 Lexington KY 40517-3062
Phone: (859) 971-4695
Fax: (859) 971-4604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20000 Kentucky

Profile Details

NPI number 1740286921
LBN Legal business name Allen, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 9th, 2020 - about 4 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 1740286921 NPPES
Kentucky MEDICAID 64200009
Kentucky Other K191130

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