Provider Demographics
NPI:1659413136
Name:GRIFFIN, ALLEN THOMAS II (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:THOMAS
Last Name:GRIFFIN
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-272-5395
Mailing Address - Fax:502-272-5339
Practice Address - Street 1:234 E GRAY ST STE 768
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1901
Practice Address - Country:US
Practice Address - Phone:502-394-6470
Practice Address - Fax:502-394-3610
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2021-04-08
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Provider Licenses
StateLicense IDTaxonomies
KY43545207RI0200X, 207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY43545OtherLICENSE