MEDICARE: KEVIN TROY ALLEN DC

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
1	111N00000X	Chiropractor	58182691202	UT

General Provider Information

NPI Number	:	1508807678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN TROY ALLEN DC

Provider Business Mailing Address
First Line	:	43 N 300 W
Second Line	:	SUITE B
City	:	WASHINGTON
State	:	UT
Zip	:	84780-1524
Country	:	US
Telephone Number	:	435-986-1021
Fax Number	:	435-986-1041

Provider Business Practice Location Address
First Line	:	43 N 300 W
Second Line	:	SUITE B
City	:	WASHINGTON
State	:	UT
Zip	:	84780-1524
Country	:	US
Telephone Number	:	435-986-1021
Fax Number	:	435-986-1041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/26/2023

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Directions to “ KEVIN TROY ALLEN DC” Practice Location

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