Kenneth J Allen, RN – Home Health Registered Nurse

Key facts

NPI: 1891003380
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Registered Nurse 163WH0200X
License: 3599 (AL)
Practice address: 2277 Buffington Rd.
Boaz, AL 35956
Phone: (256) 840-6352
NPI assigned: Sep 17, 2010
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Alachoice Healthcare Inc. Home Health Agency · Boaz, AL · NPI 1265735211

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
3599	AL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Alachoice Healthcare Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Registered Nurse	163WH0200X	3599	AL	Yes

Addresses

Primary practice location

2277 Buffington Rd.
Boaz, AL 35956

Mailing address

2277 Buffington Rd.
Boaz, AL 35956
Phone (256) 840-6352

Other providers in Boaz, AL

All providers in Boaz, AL · Home Health Registered Nurse in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. 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.

Verify at the official NPI Registry.