Organization
FAITH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E WARREN D.O. (OWNER)
(606) 546-2511
Entity
Organization
Contact information
Practice address
13232 N HIGHWAY 421, MANCHESTER, KY 40962-4972
(606) 627-4350
Mailing address
PO BOX 1404, RICHMOND, KY 40476-1404
(606) 546-2511
(606) 546-2513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02875
KY
363L00000X
Nurse Practitioner
3008480
KY
363LF0000X
Family Nurse Practitioner
1119255
KY
Other
Enumeration date
02/22/2011
Last updated
10/25/2016
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