Kelly Jo Fredricks, D.C.

Chiropractor · Winter Park, FL

Individual Active NPI

NPI number 1013318138

Practice location

1290 Palmetto Ave
Winter Park, FL 32789-4950
Phone
(407) 647-2220
Fax
(407) 647-2221

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NPI record

NPI
1013318138
Entity type
Individual (Type 1)
Enumeration date
September 8, 2014
Last updated
September 8, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH11311 FL

About Dr. Fredricks

Kelly Jo Fredricks, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1290 Palmetto Ave, Winter Park, FL 32789-4950. The NPI number 1013318138 was assigned on September 8, 2014 and the record was last updated on September 8, 2014.

Dr. Fredricks lists a license in the registry: #CH11311 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Jo Fredricks, D.C.?

The NPI number is 1013318138.

What is the phone number of Dr. Fredricks?

The phone number listed for the practice location is (407) 647-2220.

Where is Dr. Fredricks located?

1290 Palmetto Ave, Winter Park, FL 32789-4950.

What is the taxonomy code for Dr. Fredricks?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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