Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES ALLEN, NURSE PRACTITIONER
Active Sole ProprietorAmbulatory Surgical Center · KANSAS CITY, MO
Registration Details
- NPI Number
- 1275285751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2022 (4.2359408063043 yrs)
- Last Updated
- Dec 21, 2023
- Licenses
-
134659711 (MO)1427617729 (GA)1427617729 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2321 TROOST AVE STE 101KANSAS CITY, MO, 641082834Browse MO providers · Browse ZIP 64108
- Phone
- 8162002409
- Fax
- 8163200028
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
- Additional Specialty
- Clinical Ethicist
- Additional Specialty
- Ambulatory Surgical Center
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.