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Individual

DONNA MICHELLE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 PROFESSIONAL PARK, GLASGOW, KY 42141
(270) 651-9696
(270) 651-0385
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
KY40630
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100013600
KY
Enumeration date
03/04/2007
Last updated
06/10/2014
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