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Individual

MR. BENJAMIN PATRICK WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
155 W TIVERTON WAY, LEXINGTON, KY 40503-4418
(859) 272-9787
Mailing address
2414 LAKE PARK RD APT 2103, LEXINGTON, KY 40502-1339
(859) 967-6866

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004967
KY

Other

Enumeration date
10/17/2007
Last updated
06/28/2023
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