Kenneth Allen III, PHARMD
Individual provider Active NPI Pharmacotherapy Pharmacist · Madisonville, KY
NPI 1528512563 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1528512563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 016679 (KY)
- Practice address
- 2667 Country Club Dr
Madisonville, KY 42431-3875 - Phone
- (502) 551-1292
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016679 | KY | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 016679 | KY | Yes |
Addresses
Primary practice location
2667 Country Club Dr
Madisonville, KY 42431-3875
Mailing address
2667 Country Club Dr
Madisonville, KY 42431-3875
Phone (502) 551-1292
Other providers in Madisonville, KY
- Folaranmi Ajiboye
- Timi A Akins
- Muhammad Akram
- Mohammad Ajaz Alam
- Johnathon Allen
- Leslie Nicole Allen
- Timothy Allran
- Elizabeth A. Almes
- Sarah Almon
- Americas Number One Health Store Inc
All providers in Madisonville, KY · Pharmacotherapy Pharmacist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.