Provider Demographics
NPI:1730386004
Name:ALLEN, DREW S (DO)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:S
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 520
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-221-6750
Mailing Address - Fax:816-221-2335
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 520
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-221-6750
Practice Address - Fax:816-221-2335
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2021-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34009014207R00000X
KS05-35719207RC0000X
MO2008011529207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200875970AMedicaid
OH2741555Medicaid
KS200875970AMedicaid
OH2741555Medicaid