Provider Demographics
NPI:1639125404
Name:ALLEN, WILLIAM C (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1145 W LEXINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1290
Mailing Address - Country:US
Mailing Address - Phone:859-385-4093
Mailing Address - Fax:859-355-4058
Practice Address - Street 1:112 W HIGH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1826
Practice Address - Country:US
Practice Address - Phone:859-523-3009
Practice Address - Fax:859-523-5007
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2023-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY18917207L00000X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine