Provider Demographics
NPI:1467400994
Name:WARNER, KATHRYN A (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:A
Last Name:WARNER
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 1:803 NEW RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1846
Mailing Address - Country:US
Mailing Address - Phone:609-927-7400
Mailing Address - Fax:609-653-3072
Practice Address - Street 1:803 NEW RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-1846
Practice Address - Country:US
Practice Address - Phone:609-927-7400
Practice Address - Fax:609-653-3072
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00610600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V08710Medicare UPIN