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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 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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