IndividualActive
Nicole Fremarek, DO, MBA
NPI 1417410705 · Sports Medicine (Family Medicine) Physician · Lees Summit, MO
Provider details
- NPI number
- 1417410705
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO, MBA
- Sex
- Female
- Sole proprietor
- No
- License
- 2024037892 (MO)
Practice location
2861 Ne Independence Ave Ste 201
Lees Summit, MO 64064-2379
Phone: (816) 525-2840
Fax: (816) 525-2841
Mailing address
1750 Independence Ave
Kansas City, MO 64106-1453
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.