Organization
FREEMAN FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L FREEMAN ARNP (OWNER)
(606) 258-8050
Entity
Organization
Contact information
Practice address
10755 N US HIGHWAY 25E, GRAY, KY 40734-6529
(606) 258-8050
(606) 258-8994
Mailing address
10755 N US HIGHWAY 25E, GRAY, KY 40734-6529
(606) 258-8050
(606) 258-8050
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900220
KY
363LF0000X
Family Nurse Practitioner
2597P
KY
Other
Enumeration date
05/05/2008
Last updated
05/12/2014
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