Individual
DR. KAYLE MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 ST LUKES BLVD FL 2, EASTON, PA 18045-5671
(484) 503-4673
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 219-7136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77259
WI
207R00000X
Internal Medicine Physician
LL82209
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209721
—
WI
Enumeration date
03/19/2019
Last updated
06/19/2023
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