Individual provider · Type 1 NPI
Jon Kenly Allen, PA
Medical Physician Assistant · Little Rock, AR
NPI number
1154654937
Active
Practice location
4301 W Markham St, Slot 639
Little Rock, AR 72205-7101
Fax (501) 686-5549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-188 (AR) |
Medical Physician Assistant: Definition to come...
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About NPI 1154654937
Jon Kenly Allen, PA's National Provider Identifier is 1154654937, issued on Sep 11, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Little Rock, AR. The record was last updated on Sep 11, 2009.