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NPI Code Detail

MEDICARE: CHARLES T ALLRED MD

MEDICARE:   CHARLES T ALLRED  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician18555KS
2207P00000XEmergency Medicine Physician0418555KS

Other Identifiers

General Provider Information

NPI Number : 1083618839
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES T ALLRED MD
Provider Business Mailing Address
First Line : 651 E PRESCOTT RD
Second Line :
City : SALINA
State : KS
Zip : 67401-7408
Country : US
Telephone Number : 785-825-7251
Fax Number : 785-825-6887
Provider Business Practice Location Address
First Line : 651 E PRESCOTT RD
Second Line :
City : SALINA
State : KS
Zip : 67401-7408
Country : US
Telephone Number : 785-825-7251
Fax Number : 785-825-6887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 05/16/2011

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Directions to “ CHARLES T ALLRED MD” Practice Location

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