Individual
LOUIS E WARNKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5010
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5010
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1068
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3661901
MEDICARE
TN
05
—
3661901
—
TN
01
—
4068901
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/18/2006
Last updated
12/14/2007
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