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Individual

KRISTOFER NEALE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 WHITTINGTON PKWY, SUITE 320, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 320, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1142478
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3009236
KY

Other

Enumeration date
12/01/2014
Last updated
03/23/2016
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