Provider Demographics
NPI:1548266554
Name:ALLEN, JAMES V (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:V
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2200 SW 6TH AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1707
Mailing Address - Country:US
Mailing Address - Phone:785-354-8518
Mailing Address - Fax:785-354-1255
Practice Address - Street 1:11301 NALL AVE STE 205
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1774
Practice Address - Country:US
Practice Address - Phone:913-451-5934
Practice Address - Fax:913-451-4716
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2020-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MORJ47207N00000X
KS22396207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000455Medicare ID - Type Unspecified
E54626Medicare UPIN