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Individual

MR. STEVEN R WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
901 WESTLAKE DR, COLUMBIA, KY 42728-1123
(270) 384-4753
(270) 385-9123
Mailing address
901 WESTLAKE DR, COLUMBIA, KY 42728-1123
(270) 384-4753
(270) 385-9123

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004174
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004174
LICENSE
KY
Enumeration date
03/14/2008
Last updated
03/14/2008
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