Individual ProviderKristen Ann FreinPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4500 San Pablo Rd S, Jacksonville, Jacksonville, FL 32224-1865(904) 953-2000PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Ann Frein does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992786123Provider TypeIndividualFull NameFrein, Kristen AnnTitleMs.CredentialPA-CGenderFemaleEnumeration Date11/5/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address4500 San Pablo Rd S, Jacksonville, Jacksonville, FL 32224-1865Phone(904) 953-2000FaxUnlisted FaxMailing LocationMailing Address4500 San Pablo Rd S, Jacksonville, Jacksonville, FL 32224-1865Phone(904) 953-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA9102036Florida