Justine R Froude, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · McConnell Afb, KS
NPI 1568960342 · NPPES record last updated Jan 26, 2018
Key facts
- NPI
- 1568960342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3506 - Phone
- (316) 759-4648
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3506
Mailing address
2425 N Newberry St Apt 3102
Derby, KS 67037-4404
Phone (816) 877-1313
Other providers in McConnell Afb, KS
- Janice Renee Faught
- Anna Catherine Field
- Raul O Franco
- Daniel David Fridman
- Mark Friskel
- Donitta L Gardiner
- Hilary Gremminger
- Ilonda Jonelle Griffee
- Rachel M Gurley
- Joshua A Hartman
All providers in McConnell Afb, KS · Independent Duty Medical Technicians in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.