SearchKansas374J00000X

Chassidi Frederickson

NPI 1932021961 · on the registry since 2026

Practice

Address
1151 N Chipper Ln
Wichita, KS 67212
Phone
(316) 648-2659

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-29

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 Kansas