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General NPI Number Information
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NPI Number | 1336424977
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Entity Type | Organization
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Legal Business Name | KENNETH J. ALLAN, MD PC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 7350 E PROGRESS PL STE 201
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2135
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Country | US
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Telephone | 720-282-4707
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Fax | 303-539-7467
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Provider Business Mailing Address
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Address Line | 7800 E ORCHARD RD SUITE 350
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2583
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Country | US
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Telephone | 720-282-4707
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH J ALLAN
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Credential | M.D.
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Telephone | 720-282-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR38390
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | DR38390
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License Number State | CO
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