Warren, Kenneth P
Warren, Kenneth P is an individual health care provider with primary practice located at 2202 E 49Th St Ste 600 , Tulsa OK 74105-8716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Warren, Kenneth P can be contacted via phone (918) 591-3567.Contact Information
Primary practice address
2202 E 49Th St Ste 600
Tulsa OK 74105-8716
Phone: (918) 591-3567
Fax: (918) 591-3568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R0050761 | Oklahoma |
Profile Details
| NPI number | 1013909324 |
|---|---|
| LBN Legal business name | Warren, Kenneth P |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 11th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013909324 | NPPES |
| Oklahoma | Other | 1013909324 | PROVIDER INDIVIDUAL NPI |
| Oklahoma | Other | OKAAA3489 | PROVIDER INDIVIDUAL NPI |
| Oklahoma | MEDICAID | 100198180A | PROVIDER INDIVIDUAL NPI |
| Oklahoma | MEDICAID | OKAAA3489 | PROVIDER INDIVIDUAL NPI |
| Oklahoma | Other | OKAAA3490 | PROVIDER INDIVIDUAL NPI |
| Oklahoma | Other | 76063966-006 | PROVIDER INDIVIDUAL NPI |
| Oklahoma | Other | 1811267891 | PROVIDER INDIVIDUAL NPI |
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