Individual provider · Type 1 NPI
Charles Allen, NURSE PRACTITIONER
Ambulatory Surgical Clinic/Center · Kansas City, MO
NPI number
1275285751
Active
Practice location
2321 Troost Ave Ste 101
Kansas City, MO 64108-2834
Fax (816) 320-0028
Mailing address
PO Box 18361
Kansas City, MO 64133-8361
Other practice locations
- 417 SW Ward Rd, Lees Summit, MO 64081-2448 · (816) 200-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 134659711 (MO) |
| Clinical Ethicist | 174V00000X | 1427617729 (GA) |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 1427617729 (GA) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
About NPI 1275285751
Charles Allen, NURSE PRACTITIONER's National Provider Identifier is 1275285751, issued on Jan 25, 2022. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kansas City, MO. The record was last updated on Dec 21, 2023.