Individual
DR. KENN ALAN FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H8052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211700A
—
OK
05
—
100890601
—
TX
05
—
100890602
—
TX
01
—
113026100
FIRSTCARE COMMERCIAL
TX
05
—
113026102
—
TX
01
—
64022
PRESBYTERIAN COMMERCIAL
TX
05
—
64022
—
NM
01
—
84332Z
HMO BLUE
TX
01
—
86941X
BC/BS
TX
05
—
B3415
—
NM
01
—
E002
TRIWEST
NM
Enumeration date
10/31/2005
Last updated
01/15/2014
Update your record
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