Organization
KENNETH D WARREN DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WARREN JR. DPM (SOLE MEMBER)
(216) 577-7754
Entity
Organization
Contact information
Practice address
2 BERRY CT, KENNEBUNK, ME 04043-6812
(207) 985-9888
(207) 985-3488
Mailing address
2 BERRY CT, KENNEBUNK, ME 04043-6812
(207) 985-9888
(207) 985-3488
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1880
TX
261QP1100X
Podiatric Clinic/Center
Primary
1084
ME
Other
Enumeration date
10/19/2012
Last updated
09/06/2013
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