Individual
WALTER RICHARD WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 SECOND AVENUE EAST, SUITE A3, BOWLING GREEN, KY 42101
(270) 796-6847
(270) 796-6841
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-2697
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18710
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64187107
—
KY
Enumeration date
07/15/2005
Last updated
07/08/2007
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