Individual
DR. WARREN L KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
136 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 928-1815
Mailing address
136 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 928-1815
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00633069
—
NY
01
—
111898
USHC (HMO)
NY
01
—
1499628
GHI
NY
01
—
4263796
AETNA
NY
01
—
6144145013
CIGNA
NY
01
—
692299
UNITED HEALTH CARE
NY
01
—
CS097
OXFORD
NY
01
—
P-45351494
MULTIPLAN
NY
01
—
PH1231
BCBS
NY
Enumeration date
08/02/2005
Last updated
03/30/2010
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