Allen, Kenneth S

Allen, Kenneth S is an individual health care provider with primary practice located at 134 Grandview Ave Suite 101, Waterbury CT 06708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Allen, Kenneth S can be contacted via phone (203) 756-8911.

Contact Information

Primary practice address
134 Grandview Ave Suite 101 Waterbury CT 06708
Phone: (203) 756-8911
Fax: (203) 574-0548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 026221 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 026221 Connecticut

Profile Details

NPI number 1528025913
LBN Legal business name Allen, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1528025913 NPPES
Other 060911608002 TRICARE
Other OR0365 TRICARE
Other 01002627CT02 TRICARE
Other 711609 TRICARE

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