MEDICARE: WILLIAM FRANCIS 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208600000X	Surgery Physician	TP555	KY

General Provider Information

NPI Number	:	1871120808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM FRANCIS ALLEN MD

Provider Business Mailing Address
First Line	:	4402 CHURCHMAN AVE STE 202
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-3100
Country	:	US
Telephone Number	:	502-366-1090
Fax Number	:

Provider Business Practice Location Address
First Line	:	4402 CHURCHMAN AVE STE 202
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-3100
Country	:	US
Telephone Number	:	502-366-1090
Fax Number	:

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

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	07/22/2025

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