Individual
FRED H WARKENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-1821
(859) 323-5901
(859) 323-3040
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37810
KY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
37810
KY
208000000X
Pediatrics Physician
37810
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
37810
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200465070
—
IN
05
—
64077811
—
KY
Enumeration date
12/16/2005
Last updated
04/12/2024
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