KENNETH D WARREN DPM PLLC (NPI# 1437402013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437402013 |
| Entity Type | Organization |
| Organization Name | KENNETH D WARREN DPM PLLC |
| Practice Address |
2 Berry Ct Kennebunk ME 04043-6812 |
| Practice Telephone | 2079859888 |
| Practice Fax Number | 2079853488 |
| Mailing Telephone | 2079859888 |
| Mailing Fax Number | 2079853488 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-09-06 |
| Authorized Official Name | DR. KENNETH WARREN JR. (SOLE MEMBER) |
| Authorized Official Telephone | 2165777754 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1880 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
1084 | ME | Ambulatory Health Care Facilities |
| Street Address |
2 BERRY CT |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1194902809 | Webber Hospital Association | Pediatrics | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053795278 | Dr. Gary Degen LLC | Clinic/Center | 26 Woodview Dr, Bangor, ME 04401-3541 | 2015-07-17 |
Please comment or provide details below to improve the information on KENNETH D WARREN DPM PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.