Individual
KENNETH G. WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA 01107-1273
(413) 794-5550
(413) 794-4212
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52676
MA
2086S0102X
Surgical Critical Care Physician
52676
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
52676
MA
Other
Enumeration date
08/31/2006
Last updated
09/29/2023
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