Kyle Fredrik Freeman in Bend - Clinical
Kyle Fredrik Freeman - NPI 1588727770
Kyle Fredrik Freeman is a Clinical in Bend, Oregon. Kyle Fredrik Freeman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kyle Fredrik Freeman is 1588727770. The last update date is 2023-01-18.
Kyle Fredrik Freeman's current location address is 20942 Spinnaker St, Bend, Oregon. You can contact this provider via phone number 5416401160. The mailing address for Kyle Fredrik Freeman is 20942 Spinnaker St, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Fredrik Freeman |
|---|---|
| Address | 20942 Spinnaker St, Bend, Oregon |
| Phone Number | 5416401160 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588727770 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 20942 Spinnaker St |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977018428 |
| Phone Number | 5416401160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L6011 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HB994A | CA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kyle Fredrik Freeman by the Centers for Medicare & Medicaid Services?
The Kyle Fredrik Freeman has been issued the NPI (National Provider Identifier) 1588727770 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kyle Fredrik Freeman is located?
The Kyle Fredrik Freeman is situated at the following address: 20942 Spinnaker St, Bend, OR, 977018428.
What is the Kyle Fredrik Freeman's area of specialization and corresponding taxonomy classification?
The Kyle Fredrik Freeman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Kyle Fredrik Freeman receive the assignment of its 1588727770 from the Centers for Medicare & Medicaid Services?
The Kyle Fredrik Freeman was issued its 1588727770 by the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date were the Kyle Fredrik Freeman's details last updated?
The information pertaining to the Kyle Fredrik Freeman, including its address, specialty, and other details, was most recently updated on 2023-01-18.
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