Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH RAY WARRICK, M.D.
Active Sole ProprietorDermatology · LONGS, SC
Registration Details
- NPI Number
- 1366455206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.687045833233 yrs)
- Last Updated
- Aug 19, 2022
- Licenses
-
40472 (TN)40472 (TN)7540 (SC)7540 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2237 HIGHWAY 9 ELONGS, SC, 295685701Browse SC providers · Browse ZIP 29568
- Phone
- 8433999965
- Fax
- 8433999974
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.