Individual
DR. KEITH ADRIAN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 W 119TH ST, SUITE 260, OVERLAND PARK, KS 66213-1604
(913) 339-6970
(913) 339-6974
Mailing address
10100 W 119TH ST, SUITE 260, OVERLAND PARK, KS 66213-1604
(913) 339-6970
(913) 339-6974
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-25152
KS
207W00000X
Ophthalmology Physician
106616
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163470B
—
KS
01
—
21234042
BLUECROSS BLUESHIELD
KS
Enumeration date
02/04/2006
Last updated
12/13/2016
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