Provider Demographics
NPI:1992095038
Name:ALLEN, NOAH B (MD)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:B
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-757-2141
Mailing Address - Fax:859-212-1141
Practice Address - Street 1:2300 CHAMBER CENTER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-1686
Practice Address - Country:US
Practice Address - Phone:859-344-3945
Practice Address - Fax:859-344-5552
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2018-09-14
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Provider Licenses
StateLicense IDTaxonomies
KY49136208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology