Individual
JANETTA K FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, PAC
Contact information
Practice address
505 N MAIN ST, ULYSSES, KS 67880-2135
(620) 356-1261
Mailing address
505 N MAIN ST, ULYSSES, KS 67880-2135
(620) 356-1261
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1500649
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340610B
—
KS
Enumeration date
10/05/2006
Last updated
11/09/2020
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