Provider Demographics
NPI:1245878842
Name:FREEMAN, KIRSTEN (DOULA)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W GEORGIA RD
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-8575
Mailing Address - Country:US
Mailing Address - Phone:850-843-4291
Mailing Address - Fax:
Practice Address - Street 1:1801 W GEORGIA RD
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388-8575
Practice Address - Country:US
Practice Address - Phone:850-843-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula