NPI 1770196966 · live from the CMS NPI Registry
Kellen J Allen, DPT
Physical Therapist in Elgin, OK. National Provider Identifier 1770196966, active.
NPI record
| NPI | 1770196966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 922 North A St, Elgin, OK 73538 |
| Practice phone | 580-699-5455 |
| Mailing address | 1354 Nw Homestead Dr, Lawton, OK 73505 |
| Enumerated | August 26, 2020 |
| Last updated | September 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5111 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.