Freeman, Kenton C.

Freeman, Kenton C. is an sole proprietor health care provider with primary practice located at 218 S Woodbine Rd , Saint Joseph MO 64506-3447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Freeman, Kenton C. can be contacted via phone (816) 383-3680.

Contact Information

Primary practice address
218 S Woodbine Rd Saint Joseph MO 64506-3447
Phone: (816) 383-3680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 104065 Missouri

Profile Details

NPI number 1043291297
LBN Legal business name Freeman, Kenton C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Mar 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043291297 NPPES
Missouri Other 250008744 RR MEDICARE #
Missouri MEDICAID 208721506 RR MEDICARE #
Missouri Other G50233 RR MEDICARE #
Missouri Other 24719017 RR MEDICARE #
Missouri Other 0008108 RR MEDICARE #

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