Provider Demographics
NPI:1720883101
Name:ALLEN, CHELSEY MARIE
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:MARIE
Last Name:ALLEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34959 BLOCK RD
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-6241
Mailing Address - Country:US
Mailing Address - Phone:816-400-2264
Mailing Address - Fax:
Practice Address - Street 1:34959 BLOCK RD
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-6241
Practice Address - Country:US
Practice Address - Phone:816-400-2264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist