Individual
WARREN W ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1200140
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480922518
FEIN
KS
01
—
826480159
RAILROAD MEDICARE ID#
KS
Enumeration date
08/09/2006
Last updated
10/05/2011
Update your record
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