MEDICARE: DR. KENNETH D. ALLEN DO

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	207RG0100X	Gastroenterology Physician	34.013632	OH

General Provider Information

NPI Number	:	1669835377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH D. ALLEN DO

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-6255
Fax Number	:	614-293-8518

Provider Business Practice Location Address
First Line	:	3721 RIDGE MILL DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9554
Country	:	US
Telephone Number	:	614-293-6255
Fax Number	:	614-293-8518

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

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	04/16/2026

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