Individual
SAMUEL KENDALL WARREN
Active
Individual
SAMUEL KENDALL WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110240268
RAILROAD MEDICARE
WA
01
—
247840
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8320772
—
WA
Enumeration date
10/27/2006
Last updated
06/29/2023
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