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KENNETH R. WARREN M.D.
NPI 1043221856
Family Medicine in Jackson, TN

Active since August 10, 2006
31 PHYSICIANS DR, SUITE 1, JACKSON, TN 38305(731) 664-0103(731) 664-5666 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth R. Warren M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH R. WARREN M.D. (NPI 1043221856) is an individual family medicine provider in Jackson, Tennessee, licensed in Tennessee (0000011892) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1043221856
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH R. WARRENCredential: M.D.
Location Address31 PHYSICIANS DR, SUITE 1Jackson, TN 38305-2071
Mailing Address31 Physicians Dr, Suite 1Jackson, TN 38305-2071 · (731) 664-0103 · Fax (731) 664-5666
Phone(731) 664-0103
Fax(731) 664-5666
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateMay 4, 2012
✔ NPI 1043221856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 0000011892
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

31 PHYSICIANS DR, Jackson, TN 38305
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Other Identifiers 4

Medicare PIN31689371TN
Other4201533TN · Blue Cross Blue Shield
Medicare UPINB03311TN
Medicaid1508946TN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BLONDELL DEAL APN
Nurse Practitioner (Family)
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
KEVIN G GRAY M.D.
Internal Medicine
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
GOODWIN & ASSOCIATES, P.C.
Specialist
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 668-9791
FRED J SESTI FNP
Nurse Practitioner
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
KENNETH R. W. WARREN, M.D.P.C.
Family Medicine
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 664-0103
LINDSAY T CROCKER FNP
Nurse Practitioner (Family)
31 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 256-0526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Warren's NPI number?

The NPI number for Kenneth Warren is 1043221856. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Kenneth Warren located?

Kenneth Warren practices at 31 Physicians Dr Suite 1, Jackson, TN 38305. The listed phone number is (731) 664-0103.

What is Kenneth Warren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Warren was last updated on May 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.