NPI 1275285751 · live from the CMS NPI Registry
Charles Allen, Nurse practitioner
Clinic/Center, Ambulatory Surgical in Kansas City, MO. National Provider Identifier 1275285751, active.
NPI record
| NPI | 1275285751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Ambulatory Surgical 261QA1903X |
| Practice location | 2321 Troost Ave Ste 101, Kansas City, MO 64108 |
| Practice phone | 816-200-2409 |
| Mailing address | Po Box 18361, Kansas City, MO 64133 |
| Enumerated | January 25, 2022 |
| Last updated | December 21, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | 134659711 (MO) |
| Clinical Ethicist | 174V00000X | 1427617729 (GA) |
| Clinic/Center, Ambulatory Surgical primary | 261QA1903X | 1427617729 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.