NPI 1346203809 · live from the CMS NPI Registry
Jay Ronald Allen, M.D.
Family Medicine in Kirtland Afb, NM. National Provider Identifier 1346203809, active.
NPI record
| NPI | 1346203809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2050a 2nd St Se, Kirtland Afb, NM 87117 |
| Practice phone | 505-846-3562 |
| Mailing address | 845 N Humboldt St, Denver, CO 80218 |
| Enumerated | April 7, 2006 |
| Last updated | March 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 37419 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.