Kevin Alen, AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

00284 Issued in FL

Practice address

2180 A1A S Ste 104
St Augustine, FL 32080-6523

Phone

(904) 824-9439

NPI assigned

Nov 3, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Dennis W Allen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1023345667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PALM ROW",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844409",
            "telephone_number": "904-824-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 A1A S STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "904-824-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "00284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "ALLEN",
            "middle_name": "W",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.