Individual
WARREN KENT BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3804 S CHURCH ST, BURLINGTON, NC 27215-9134
(336) 524-0304
(336) 584-4387
Mailing address
530 W WEBB AVE, BURLINGTON, NC 27217
(336) 228-8316
(336) 227-9750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9801600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184J
BCBS
NC
01
—
1208053
UHC
NC
05
—
8911845
—
NC
Enumeration date
11/02/2006
Last updated
05/24/2013
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