Search › Kentucky › 175T00000X
Tony Fredericks
NPI 1174236624 · on the registry since 2022 · sole proprietor
Practice
- Address
- 100 Par Ln Ste 102
Elizabethtown, KY 42701 - Phone
- (270) 312-2500
- Organisation at this address
- Unbound Life Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2022-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky