Provider Demographics
NPI:1083802664
Name:WARNER, ROBERT W (DC PA)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:WARNER
Suffix:
Gender:M
Credentials:DC PA
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Mailing Address - Street 1:2112 BOB BILLINGS PKWY
Mailing Address - Street 2:STE 1
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2722
Mailing Address - Country:US
Mailing Address - Phone:785-843-3033
Mailing Address - Fax:785-843-3127
Practice Address - Street 1:2112 BOB BILLINGS PKWY
Practice Address - Street 2:STE 1
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2722
Practice Address - Country:US
Practice Address - Phone:785-843-3033
Practice Address - Fax:785-843-3127
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2008-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS01-03798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS350011416OtherRAILROAD MEDICARE
KS37371OtherPREFERRED HEALTH PROFESSI
KS5305636OtherAETNA
KS062466OtherBLUE CROSS BLUE SHIELD KS
KS007359OtherBLUE CROSS BLUE SHIELD
KS10881944OtherCAQH CREDENTIALING DATA
KS160522OtherUNITED HEALTHCARE
MO2385019OtherBLUE CROSS OF KANSAS CITY
KS160522OtherUNITED HEALTHCARE