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Kelly Frederick
NPI 1821652876 · on the registry since 2019
Practice
- Address
- 1063 E 900 S
Warren, IN 46792 - Phone
- (260) 468-3093
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 106S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-19
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 Indiana