Kenneth D Warren Dpm Pllc

NPI #1437402013 in Kennebunk, Maine

Provider Information

NPI Number: 1437402013
Entity Type: Organization
Organization Name: Kenneth D Warren Dpm Pllc
Primary Specialty: Clinic/Center - Podiatric
Enumeration Date: Oct 19, 2012
Last Updated: Sep 6, 2013

Practice Location

Address: 2 BERRY CT
City: Kennebunk
State: Maine
ZIP Code: 04043-6812
Phone: (207) 985-9888

Authorized Official

Name: DR. KENNETH WARREN JR., DPM
Title: SOLE MEMBER
Phone: (216) 577-7754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Clinic/Center - Podiatric — Podiatric	261QP1100X	Primary

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