Healthcare Provider Details

I. General information

NPI: 1669609970
Provider Name (Legal Business Name): DANIEL E WARREN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 N WATER ST STE 4
WICHITA KS
67203-3855
US

IV. Provider business mailing address

731 N WATER ST STE 4
WICHITA KS
67203-3855
US

V. Phone/Fax

Practice location:
  • Phone: 316-246-1280
  • Fax: 316-267-3743
Mailing address:
  • Phone: 316-246-1280
  • Fax: 316-267-3843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number04-35232
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: