Kenneth R. W. Warren, M.D.P.C.

LBN: Kenneth R. W. Warren, M.D.P.C.
Kenneth R. W. Warren, M.D.P.C. is an health care organization with primary practice located at 31 Physicians Dr , Jackson TN 38305-2071. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kenneth R. W. Warren, M.D.P.C. can be contacted via phone (731) 664-0103, or through Warren, Kenneth Russell via phone (731) 664-0103.

Contact Information

Primary practice address
31 Physicians Dr Jackson TN 38305-2071
Phone: (731) 664-0103
Fax: (731) 664-5666
Website:
Map and Directions
Authorized official contact:
Name: Warren, Kenneth Russell Doctor of Medicine (MD)
Phone: (731) 664-0103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0000011892 Tennessee

Profile Details

NPI number 1518169812
LBN Legal business name Kenneth R. W. Warren, M.D.P.C.
DBA Doing business as
Authorized official Warren, Kenneth Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518169812 NPPES
Tennessee MEDICAID 3168937

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