Healthcare Provider Details

I. General information

NPI: 1669835377
Provider Name (Legal Business Name): KENNETH D. ALLEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 RIDGE MILL DR
HILLIARD OH
43026-9554
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-6255
  • Fax: 614-293-8518
Mailing address:
  • Phone: 614-293-6255
  • Fax: 614-293-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number34.013632
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: