Individual
KENNETH CHRISTIAN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
Mailing address
285 WOODGROVE DR, ATHENS, GA 30605-7510
(706) 296-0334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007957
GA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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