Individual
COLLINS KENNETH FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
3508 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 459-1099
(360) 459-1794
Mailing address
3508 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 459-1099
(360) 459-1794
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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