Allen, Keith Blaine

Allen, Keith Blaine is an individual health care provider with primary practice located at 4320 Wornall Rd Ste 50 11, Kansas City KS 64111-5941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Allen, Keith Blaine can be contacted via phone (816) 931-3312.

Contact Information

Primary practice address
4320 Wornall Rd Ste 50 11 Kansas City KS 64111-5941
Phone: (816) 931-3312
Fax: (816) 531-9862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2007010370 Missouri
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01046628A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 04-32311 Kansas

Profile Details

NPI number 1609804855
LBN Legal business name Allen, Keith Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609804855 NPPES
Indiana MEDICAID 100376070A
Indiana MEDICAID PENDING
Indiana MEDICAID PENDING

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