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Organization
KENNETH R. W. WARREN, M.D.P.C.
Active
Organization
KENNETH R. W. WARREN, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RUSSELL WARREN M.D. (PRESIDENT)
(731) 664-0103
Entity
Organization
Contact information
Practice address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 664-5666
Mailing address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 664-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000011892
TN
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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