Individual
DR. TIMOTHY DALE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1415 W 31ST ST S, WICHITA, KS 67217-2536
(316) 529-3700
(316) 529-0200
Mailing address
1415 W 31ST ST S, WICHITA, KS 67217-2536
(316) 529-3700
(316) 529-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04242
KS
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59941
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/11/2006
Last updated
03/25/2021
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