Individual
KELLY JOHN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 RESEARCH ROW STE 100C, DALLAS, TX 75235-2519
(214) 845-6426
(214) 845-7544
Mailing address
2110 RESEARCH ROW STE 100C, DALLAS, TX 75235-2519
(214) 845-6426
(214) 845-7544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
K266750
KY
207N00000X
Dermatology Physician
Primary
K8565
TX
207N00000X
Dermatology Physician
ME133767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306801071
NPI
TX
Enumeration date
04/18/2006
Last updated
12/06/2024
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