Provider Demographics
NPI:1558848291
Name:FREUND, KAREN LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:FREUND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:42539-3064
Mailing Address - Country:US
Mailing Address - Phone:606-787-5044
Mailing Address - Fax:606-787-5029
Practice Address - Street 1:199 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:42539-3064
Practice Address - Country:US
Practice Address - Phone:606-787-5044
Practice Address - Fax:606-787-5029
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138147363L00000X
KY3013346363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner