Individual
DR. KRISTINE FREYALDENHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7450 KESSLER ST, STE 150, OVERLAND PARK, KS 66204-2550
(913) 677-2508
(913) 677-0631
Mailing address
7450 KESSLER ST, STE 150, OVERLAND PARK, KS 66204-2550
(913) 677-2508
(913) 677-0631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-31304
KS
208600000X
Surgery Physician
04-31304
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104860
KS MEDICARE
KS
05
—
200269550A
—
KS
01
—
P00278025
RR MEDICARE
KS
01
—
Q67D811
MEDICARE
KS
Enumeration date
06/23/2005
Last updated
03/01/2021
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