Search › Missouri › 207X00000X
Keith Frederick, DO
NPI 1366552762 · on the registry since 2006
Practice
- Address
- 1000 W 10th St
Rolla, MO 65401 - Phone
- (573) 364-9000
- Fax
- (573) 202-2484
- Organisation at this address
- Miracl, Llc
Lifenet, Inc.
Palmaris Imaging, Llc
Glenn A Kunkel Md Llc
Ameripath Indianapolis PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Additional practice sites
- 1050 W 10th St, Rolla, MO
- 1000 W 10th St, Rolla, MO
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-27
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 Missouri