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KEITH R ALLEN R.N.

Critical Care Medicine >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1114154614

Individual Registrant:
 KEITH R ALLEN R.N.
Gender: M
Sole Proprietor

Location and contact information for practice:
79 PETERS LN  WESTHAMPTON BEACH, NY 11978-1407 US
Tel: 631-288-9512  Fax: --

Contact information for business:
79 PETERS LN  WESTHAMPTON BEACH, NY 11978-1407 US
Tel: 631-288-9512  Fax: --

Registration Information:
NPI: 1114154614
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
NY499468

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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