Doctor Name: | JANETTA K FREEMAN |
NPI Number: | 1083700934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, PAC |
License Number: | 1500649 |
Business Practice Address: | 505 N Main St Ulysses, KS - 678802135 |
Business Phone Number: | 6203561261 |
Business Fax Number: | |
Mailing Address: | 505 N Main St, ULYSSES |
State: | KS |
Postal Code: | 678802135 |
Phone Number: | 6203561261 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1500649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |