Individual
DR. KYLE EDWIN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3440 38TH AVE, SUITE 1, MOLINE, IL 61265-6407
(309) 764-4004
Mailing address
1326 N MAIN ST, DAVENPORT, IA 52803-4626
(605) 261-9174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012294
IL
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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