Dr. Kenton C. Freeman
Physical Medicine & Rehabilitation Doctor
218 S Woodbine Rd
Saint Joseph
, Missouri 64506-3447
Dr. Kenton C. Freeman
Physical Medicine & Rehabilitation Doctor
218 S Woodbine Rd
Saint Joseph
, Missouri 64506-3447
(816) 233-8196
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Kenton C. Freeman
- 2201 Red Oak Ct
- Saint Joseph, MO
- Zip : 64506-4936
- Fax : (816) 233-8196
- Phone : (816) 233-0211
Second Address
- Dr. Kenton C. Freeman
- 218 S Woodbine Rd
- Saint Joseph, MO
- Zip : 64506-3447
- Phone : (816) 383-3680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 104065 | MO |
National Provider Identifier
| NPI | 1043291297 |
|---|---|
| Provider Name | Dr. Kenton C. Freeman |
| First Address | Saint Joseph, MO 64506-4936 |
| Second Address | Saint Joseph, MO 64506-3447 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 12/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0008108 | MEDICARE PROV # (01) | MO |
| 208721506 | (05) | MO |
| 24719017 | BC/BS OF KC (01) | MO |
| 250008744 | RR MEDICARE # (01) | MO |
| G50233 | UPIN (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.