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Individual

DR. KATIE M. WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS017335
PA
390200000X
Student in an Organized Health Care Education/Training Program
62966
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS017335
MEDICAL LICENSE
PA
Enumeration date
04/11/2010
Last updated
08/04/2015
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