Freeman, Kevin Wayne

Freeman, Kevin Wayne is an individual health care provider with primary practice located at 4500 E Speedway Blvd Suite 60, Tucson AZ 85712-5303. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Other Service Providers / Specialist. Nursing Service Providers / Medical-Surgical is his primary health care specialty. Freeman, Kevin Wayne can be contacted via phone (520) 318-6039.

Contact Information

Primary practice address
4500 E Speedway Blvd Suite 60 Tucson AZ 85712-5303
Phone: (520) 318-6039
Fax: (520) 320-0081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN098085 Arizona
Other Service Providers / Specialist 174400000X 985962 Arizona

Profile Details

NPI number 1649370776
LBN Legal business name Freeman, Kevin Wayne
Credentials CRNFA, RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 27th, 2007 - about 17 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 1649370776 NPPES
Arizona MEDICAID 554403 01

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