Individual
DR. KENNETH RAY WARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2237 HIGHWAY 9 E, LONGS, SC 29568-5701
(843) 399-9965
(843) 399-9974
Mailing address
2237 HIGHWAY 9 E, LONGS, SC 29568-5701
(843) 399-9965
(843) 399-9974
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
40472
TN
207N00000X
Dermatology Physician
Primary
7540
SC
207NS0135X
Procedural Dermatology Physician
40472
TN
207NS0135X
Procedural Dermatology Physician
7540
SC
Other
Enumeration date
08/14/2006
Last updated
08/19/2022
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