MR. KENNETH JEFFERSON ALLEN III


Address: 2106 Barnett Ave, Wilmington, NC 28403-2240
Phone: 9106223096

MR. KENNETH JEFFERSON ALLEN III (NPI# 1912521626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912521626
Entity Type Individual
Full Name MR. KENNETH JEFFERSON ALLEN III
Credential RD, LDN
Practice Address 2106 Barnett Ave
Wilmington
NC 28403-2240
Practice Telephone 9106223096
Mailing Telephone 9106223096
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 004802 NC Dietary & Nutritional Service Providers

Other Providers KENNETH ALLEN

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1891003380 Kenneth J Allen Registered Nurse 2277 Buffington Rd., Boaz, AL 35956 2010-09-17
1235324377 Kenneth J. Allen Dentist 1440 S Wabash Ave, Unit 101, Chicago, IL 60605-2897 2007-09-12
1114005063 Kenneth R Allen Social Worker 8131 Ritchie Hwy Ste G, Pasadena, MD 21122-6940 2006-11-01
1104829118 Kenneth Billings Allen Dentist 1337 Riverside Ave, Ste 1, Fort Collins, CO 80524-4373 2005-05-23
1609346691 Kenneth Allen Respiratory Therapist, Registered 97 San Marin Dr, Novato, CA 94945-1100 2018-12-03
1669835377 Kenneth D. Allen Internal Medicine 410 W 10th Ave, Columbus, OH 43210-1240 2016-03-30
1205233228 Kenneth Jd Allen Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2014-11-20
1427362714 Kenneth Edward Allen Psychologist 828 S Bascom Ave, San Jose, CA 95128-2651 2010-07-29

Office Location

Street Address 2106 BARNETT AVE
City WILMINGTON
State NC
Zip Code 28403-2240

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659978245 Jaclyn Lee Atwater Dietitian, Registered 415 Yucca Ln, Wilmington, NC 28412-1042 2020-10-06
1720600729 Melissa Buscetta Dietitian, Registered 4647 Fairview Dr Apt 328, Wilmington, NC 28412-3684 2020-05-12
1285270207 Ruby Ali Dietitian, Registered 115 Amberleigh Dr Apt 206, Wilmington, NC 28411-9810 2019-11-25
1184280158 Melissa Danielle Flynn Dietitian, Registered 4702 Bentley Dr, Wilmington, NC 28409-6958 2019-05-15
1013424126 Kyrstin Brianna Draney Dietitian, Registered 5129 Oleander Dr Ste 103, Wilmington, NC 28403-7062 2018-01-10
1588191225 Rachael Swartz Dietitian, Registered 3305 Burnt Mill Dr Ste 100, Wilmington, NC 28403-3067 2017-05-12
1235663014 April Callahan Dietitian, Registered 2 Kristina Ct, Wilmington, DE 19808-4063 2017-04-18
1518416205 Nancy Lois Angell Dietitian, Registered 114 Kenneth Ct, Wilmington, NC 28405-1307 2016-09-23
1891163218 Stefanie Weiner Dietitian, Registered 919 Cloister Rd, Apt E, Wilmington, DE 19809-1018 2015-09-02
1932585957 Callan E Wall Dietitian, Registered 5405 Carolyn Dr, Wilmington, NC 28409-5913 2015-07-31
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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