# SALLY ANN WARREN DPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366795932
- **Authorized official:** DR. SALLY ANN WARREN DPM (SOLE MEMBER)
- **Authorized official phone:** (440) 670-4968

## Contact information

- **Practice address:** 75 PORTLAND RD, KENNEBUNK, ME 04043-6602
- **Practice address phone:** (207) 985-9888
- **Practice address fax:** (207) 985-3488
- **Mailing address:** 75 PORTLAND RD, KENNEBUNK, ME 04043-6602
- **Mailing address phone:** (207) 985-9888
- **Mailing address fax:** (207) 985-3488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1881 | TX | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 10/19/2012