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Individual
MR. KEVIN WAYNE FREEMAN
Active
Individual
MR. KEVIN WAYNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA, RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN098085
AZ
174400000X
Specialist
985962
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554403 01
—
AZ
Enumeration date
09/25/2006
Last updated
12/27/2007
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