| Doctor Name: | CALLA M FREEMAN |
| NPI Number: | 1023478310 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3010141 |
| Business Practice Address: | 1325 Triplett St # A Owensboro, KY - 423033163 |
| Business Phone Number: | 2706868500 |
| Business Fax Number: | 2706855467 |
| Mailing Address: | 1325 Triplett St, # A OWENSBORO |
| State: | KY |
| Postal Code: | 423033163 |
| Phone Number: | 2706868500 |
| Fax Number: | 2706855467 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3010141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |