Individual
KIMBERLY WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 830-7440
Mailing address
2225 NORTH EL DORADO AVE, KLAMATH FALLS, OR 97601
(541) 830-7440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1033843
TX
Other
Enumeration date
04/02/2021
Last updated
04/28/2026
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