Warren, Keith Clements

Warren, Keith Clements is an sole proprietor health care provider with primary practice located at 5020 Lakeland Cir Suite B, Waco TX 76710-2996. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Warren, Keith Clements can be contacted via phone (254) 722-9961.

Contact Information

Primary practice address
5020 Lakeland Cir Suite B Waco TX 76710-2996
Phone: (254) 722-9961
Fax: (254) 399-9290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 23289 Texas

Profile Details

NPI number 1649356031
LBN Legal business name Warren, Keith Clements
Credentials PH D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated May 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649356031 NPPES
Texas MEDICAID 039240902
Texas Other 00D59R

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