Kenneth Freeman

NPI 1467011130 · on the registry since 2019 · sole proprietor

Practice

Address: 2501 Atlantic Ave
Long Beach, CA 90806
Phone: (562) 424-6105
Fax: (562) 427-1678
Organisation at this address: Special Service For Groups, Inc.
Cambodian Association Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California