Individual provider · NPI-1

Kevin Blake Freedman, M.D.

Orthopaedic Surgery, Sports Medicine · Bryn Mawr, PA

NPI number1730140153
StatusActive
Last updated in NPPESFeb 18, 2022

Details

NPI
1730140153
Entity type
Individual (NPI-1)
Name
Kevin Blake Freedman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2006
Certification date
Feb 18, 2022
Last updated
Feb 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports MedicineMD063274LPAYes
207XX0005X Orthopaedic Surgery, Sports MedicineME152450FL
207XX0005X Orthopaedic Surgery, Sports Medicine25MA09456000NJ
207XX0005X Orthopaedic Surgery, Sports Medicine307192NY

Practice location

825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234

Phone 267-339-3558 · Fax 267-339-3763

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Phone 800-321-9999 · Fax 267-339-3761

Other practice locations

1200 Manor Dr
Chalfont, PA 18914-2282

Phone 267-339-3558 · Fax 267-339-3763

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