Provider Demographics
NPI:1114029154
Name:WARNER, DARRYL KEEF (D,C)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:KEEF
Last Name:WARNER
Suffix:
Gender:M
Credentials:D,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HOSPITAL DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-7019
Mailing Address - Country:US
Mailing Address - Phone:814-623-5592
Mailing Address - Fax:814-623-2449
Practice Address - Street 1:201 HOSPITAL DR,
Practice Address - Street 2:SUITE 2
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537
Practice Address - Country:US
Practice Address - Phone:814-623-5592
Practice Address - Fax:814-623-2449
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004738L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician