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Individual

DR. JENNIFER L FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010031549
MO
208000000X
Pediatrics Physician
26612
OK
208000000X
Pediatrics Physician
27666
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057913
BCBS
KS
05
100355930A
KS
01
109998
HPK
KS
01
12149433
MULTIPLAN
KS
01
12721
PHS
KS
01
17012
COVENTRY
KS
05
200212490A
OK
Enumeration date
07/03/2006
Last updated
09/25/2015
Update your record

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