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NPI Code Detail

MEDICARE: CORNELLIUS T ALLEN

MEDICARE: CORNELLIUS T ALLEN
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
13747P1801XPersonal Care AttendantWV

General Provider Information

NPI Number : 1568326189
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORNELLIUS T ALLEN
Provider Business Mailing Address
First Line : 10 6TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-0028
Country : US
Telephone Number : 304-525-8014
Fax Number : 304-525-8026
Provider Business Practice Location Address
First Line : 10 6TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-0028
Country : US
Telephone Number : 304-525-8014
Fax Number : 304-525-8026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ CORNELLIUS T ALLEN ” Practice Location

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