Provider Demographics
NPI:1619155488
Name:WARWICK, KEVIN D (RN)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:D
Last Name:WARWICK
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A CO 121ST COMBAT SUPPORT HOSPITAL
Mailing Address - Street 2:BOX 752
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:US
Mailing Address - Phone:870-619-4124
Mailing Address - Fax:
Practice Address - Street 1:A CO 121ST COMBAT SUPPORT HOSPITAL
Practice Address - Street 2:BOX 752
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:US
Practice Address - Phone:870-619-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666738163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse