Skip Navigation

Provider Information for 1730689373

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALLEN N CONN PA-C

Gender: MALE

Individual NPI: 1730689373

Calendar   Last Updated:  2018-02-20
  Certification Date: 

Details

Name Value
NPI 1730689373
Enumeration Date 2018-02-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429-8721
United States

Phone: 352-794-6868 | Fax:
View Map External Link
Primary Practice Address 6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429-8721
United States

Phone: 352-794-6868 | Fax: 352-796-6869
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363A00000X - Physician Assistant FL 9110576