Wilson Kingsley Allen, DMD
Dentist, General Practice in Georgetown, KY. Individual provider (NPI-1).
NPI number1972161933
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1972161933
- Entity type
- Individual (NPI-1)
- Name
- Wilson Kingsley Allen
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2019
- Last updated
- Jun 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10287 | KY | Yes |
Practice location
230 Connector RdGeorgetown, KY 40324-9722
Phone 502-642-5008
Mailing address
230 Connector RdGeorgetown, KY 40324-9722
Phone 502-642-5008
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