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
Fax: (913) 339-6974
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790757631 NPPES
Kansas Other 21234042 BLUECROSS BLUESHIELD
Kansas MEDICAID 100163470B BLUECROSS BLUESHIELD

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