Provider Demographics
NPI:1457517369
Name:FREEMAN, KAYE SALINA (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KAYE
Middle Name:SALINA
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:GLADYS
Other - Middle Name:KAYE
Other - Last Name:MEIDINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 71162
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84171-0162
Mailing Address - Country:US
Mailing Address - Phone:801-750-1921
Mailing Address - Fax:801-944-3190
Practice Address - Street 1:36 S STATE ST STE 2200
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-1470
Practice Address - Country:US
Practice Address - Phone:385-622-0669
Practice Address - Fax:385-297-2822
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT355572-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily