MEDICARE: KENNETH 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
1	343900000X	Non-emergency Medical Transport (VAN)	KBA9323	OH
2	376J00000X	Homemaker	KBA9323	OH
3	347C00000X	Private Vehicle	KBA9323	OH

General Provider Information

NPI Number	:	1861348336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH ALLEN

Provider Business Mailing Address
First Line	:	275 HAMMOND AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44902-7831
Country	:	US
Telephone Number	:	419-512-6499
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 HAMMOND AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44902-7831
Country	:	US
Telephone Number	:	419-512-6499
Fax Number	:

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

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

Similar Medicare Providers

1780676445 — CITY OF MANSFIELD OHIO
Practice Location Address:

140 E 3RD ST
MANSFIELD, OH
44902-1516

Practice Phone: 419-755-9825
Practice Fax:

1598726028 — DR. PAUL RITENOUR DO
Practice Location Address:

43 E 4TH ST
MANSFIELD, OH
44902-1303

Practice Phone: 419-571-5290
Practice Fax: 419-522-0998

1790735462 — VISITING NURSE ASSOCIATION OF MID-OHIO
Practice Location Address:

40 W 4TH ST
MANSFIELD, OH
44902-1206

Practice Phone: 419-522-4969
Practice Fax: 216-694-4162

1689629206 — DR. ROBERT MAURICE BRENNER OD
Practice Location Address:

70 PARK AVE W
MANSFIELD, OH
44902-1624

Practice Phone: 419-525-1207
Practice Fax: 419-525-0030

1023056702 — FIRST CHOICE HOME HEALTH OF OHIO INC
Practice Location Address:

1227 PARK AVE WEST
MANSFIELD, OH
44902

Practice Phone: 419-521-2700
Practice Fax: 419-521-1224

1285674036 — DR. RAYMOND EDWARD BERNOTAS D.D.S.
Practice Location Address:

113 S MAIN ST
MANSFIELD, OH
44902-7903

Practice Phone: 419-524-1512
Practice Fax:

Directions to “ KENNETH ALLEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.