Freedman, Kenn Alan

Freedman, Kenn Alan is an individual health care provider with primary practice located at 3601 4Th St 2A100, Lubbock TX 79430-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Freedman, Kenn Alan can be contacted via phone (806) 743-2020.

Contact Information

Primary practice address
3601 4Th St 2A100 Lubbock TX 79430-0002
Phone: (806) 743-2020
Fax: (806) 743-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H8052 Texas

Profile Details

NPI number 1235120353
LBN Legal business name Freedman, Kenn Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120353 NPPES
Texas Other 64022 PRESBYTERIAN COMMERCIAL
Texas MEDICAID 113026102 PRESBYTERIAN COMMERCIAL
Texas MEDICAID 64022 PRESBYTERIAN COMMERCIAL
Texas Other 84332Z PRESBYTERIAN COMMERCIAL
Texas Other 86941X PRESBYTERIAN COMMERCIAL
Texas MEDICAID B3415 PRESBYTERIAN COMMERCIAL
Texas MEDICAID 100890602 PRESBYTERIAN COMMERCIAL
Texas Other 113026100 PRESBYTERIAN COMMERCIAL
Texas MEDICAID 100890601 PRESBYTERIAN COMMERCIAL
Texas MEDICAID 100211700A PRESBYTERIAN COMMERCIAL
Texas Other E002 PRESBYTERIAN COMMERCIAL

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