Individual
JOEL M WARREN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 341-3575
Mailing address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 341-3575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44338
KY
207RG0100X
Gastroenterology Physician
Primary
44338
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100140680
—
KY
Enumeration date
03/31/2008
Last updated
08/30/2017
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