Provider Demographics
NPI:1164763686
Name:WARREN, KARA LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LOUISE
Last Name:WARREN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 S MERIDIAN RD
Mailing Address - Street 2:P.O. BOX 111
Mailing Address - City:HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:49247-9341
Mailing Address - Country:US
Mailing Address - Phone:517-448-3000
Mailing Address - Fax:517-448-6900
Practice Address - Street 1:509 S MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MI
Practice Address - Zip Code:49247-9341
Practice Address - Country:US
Practice Address - Phone:517-448-3000
Practice Address - Fax:517-448-6900
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor