Freeman, Kevin Andrew

Freeman, Kevin Andrew is an individual health care provider with primary practice located at 200 Westpark Dr Suite 325, Peachtree City GA 30269-3534. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Freeman, Kevin Andrew can be contacted via phone (770) 486-1140.

Contact Information

Primary practice address
200 Westpark Dr Suite 325 Peachtree City GA 30269-3534
Phone: (770) 486-1140
Fax: (678) 669-2693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4897 Georgia

Profile Details

NPI number 1689741993
LBN Legal business name Freeman, Kevin Andrew
Credentials PHD, LPC, NCC, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 1st, 2016 - about 9 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 1689741993 NPPES
Georgia Other 52212904001 BCBS
Georgia Other 7835951 BCBS
Georgia Other 60073521 BCBS

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