Provider Demographics
NPI:1548268857
Name:HOWE, ALLEN KINNE JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:KINNE
Last Name:HOWE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:12011 LEE JACKSON MEMORIAL HWY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3310
Mailing Address - Country:US
Mailing Address - Phone:703-391-2030
Mailing Address - Fax:703-273-3943
Practice Address - Street 1:12330 PINECREST RD
Practice Address - Street 2:SUITE 250
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1642
Practice Address - Country:US
Practice Address - Phone:703-476-1050
Practice Address - Fax:703-476-7126
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2014-09-04
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Provider Licenses
StateLicense IDTaxonomies
VA0101 031277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C62731Medicare UPIN
004928F42Medicare ID - Type Unspecified