Individual
MR. KEVIN WAYNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA, RNFA
Contact information
Practice address
4500 E SPEEDWAY BLVD, SUITE 60, TUCSON, AZ 85712-5303
(520) 318-6039
(520) 320-0081
Mailing address
PO BOX 42123, TUCSON, AZ 85733-2123
(520) 318-6039
(520) 320-0081
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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