Individual
KENNETH WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-7263
Mailing address
2330 HIGHGATE ST APT 11, MEDFORD, OR 97501-3088
(541) 441-6868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098007190RN
OR
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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