Warren, Keith Adrian
Warren, Keith Adrian is an sole proprietor health care provider with primary practice located at 10100 W 119Th St Suite 260, Overland Park KS 66213-1604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Warren, Keith Adrian can be contacted via phone (913) 339-6970.Contact Information
Primary practice address
10100 W 119Th St Suite 260
Overland Park KS 66213-1604
Phone: (913) 339-6970
Fax: (913) 339-6974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 04-25152 | Kansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 106616 | Missouri |
Profile Details
| NPI number | 1790757631 |
|---|---|
| LBN Legal business name | Warren, Keith Adrian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2006 |
| Last updated | Dec 13th, 2016 - about 9 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 | 1790757631 | NPPES |
| Kansas | Other | 21234042 | BLUECROSS BLUESHIELD |
| Kansas | MEDICAID | 100163470B | BLUECROSS BLUESHIELD |
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