Kevin Lee Freeman in Collierville - Nutrition Support
Kevin Lee Freeman - NPI 1821008608
Kevin Lee Freeman is a Nutrition Support in Collierville, Tennessee. Kevin Lee Freeman practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Kevin Lee Freeman is 1821008608. The last update date is 2007-07-08.
Kevin Lee Freeman's current location address is 219 Home Pl, Collierville, Tennessee. You can contact this provider via phone number 9015238990 and fax number 9015777306. The mailing address for Kevin Lee Freeman is 219 Home Pl, Collierville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lee Freeman |
|---|---|
| Address | 219 Home Pl, Collierville, Tennessee |
| Phone Number | 9015238990 |
| Fax Number | 9015777306 |
| Sole Proprietor | Y |
| Credentials | PHARMD,BCN |
NPI Number Detail
| NPI Number | 1821008608 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 219 Home Pl |
|---|---|
| City | Collierville |
| State | Tennessee (TN) |
| Post Code | 380171482 |
| Phone Number | 9015238990 |
| Fax Number | 9015777306 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 10917 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kevin Lee Freeman by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Lee Freeman has been assigned the NPI (National Provider Identifier) 1821008608. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kevin Lee Freeman's facilities are situated?
The facilities of Kevin Lee Freeman are physically located at the following address: 219 Home Pl, Collierville, TN, 380171482.
What is Kevin Lee Freeman's area of expertise and its corresponding taxonomy classification?
The Kevin Lee Freeman's field of specialization is Nutrition Support, and it falls under the taxonomy code 1835N1003X, which categorizes healthcare providers based on their areas of practice.
On what date did Kevin Lee Freeman receive its 1821008608 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Lee Freeman was assigned its 1821008608 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kevin Lee Freeman last refreshed?
The information related to the Kevin Lee Freeman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.