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NPI Code Detail

MEDICARE: DR. WILLIAM R ALLEN MD

MEDICARE: DR. WILLIAM R ALLEN 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
1208800000XUrology Physician20000KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K191130OTHERKYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740286921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM R ALLEN MD
Provider Business Mailing Address
First Line : 793 EASTERN BYP
Second Line : STE 101
City : RICHMOND
State : KY
Zip : 40475-2422
Country : US
Telephone Number : 859-626-8645
Fax Number : 859-626-8661
Provider Business Practice Location Address
First Line : 4071 TATES CREEK CENTRE DR
Second Line : SUITE 202
City : LEXINGTON
State : KY
Zip : 40517-3062
Country : US
Telephone Number : 859-971-4695
Fax Number : 859-971-4604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/09/2020

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