| R. Craig Allen, P.s.c. | |
|
520 Noel Avenue Hopkinsville KY 42240 | |
| (270) 885-4156 | |
| (270) 885-4031 |
| Full Name | R. Craig Allen, P.s.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 520 Noel Avenue, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Richard Craig Allen (PRESIDENT) |
| Authorized Official Contact | 2708854156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Craig Allen, P.s.c. 520 Noel Avenue Hopkinsville KY 42240 Ph: (270) 885-4156 | R. Craig Allen, P.s.c. 520 Noel Avenue Hopkinsville KY 42240 Ph: (270) 885-4156 |
| NPI Number | 1578785713 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578785713 | NPI | - | NPPES |
| 61900494 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4198 (Kentucky) | Primary |
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