Provider Demographics
NPI:1063753275
Name:WARNE, KEVIN J
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:J
Last Name:WARNE
Suffix:
Gender:M
Credentials:
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Mailing Address - Street 1:64 FREETOWN ROAD SUITE 1
Mailing Address - Street 2:CORNERSTONE PHYSICAL THERAPY ASSOCIATES
Mailing Address - City:RAYMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03077
Mailing Address - Country:US
Mailing Address - Phone:603-895-6860
Mailing Address - Fax:603-895-6861
Practice Address - Street 1:64 FREETOWN ROAD SUITE 1
Practice Address - Street 2:CORNERSTONE PHYSICAL THERAPY ASSOCIATES
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077
Practice Address - Country:US
Practice Address - Phone:603-895-6860
Practice Address - Fax:603-895-6861
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH3405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist