McKenzi Frederick, RN

Registered Nurse · Flora, IL

Individual Active NPI

NPI number 1104588326

Practice location

165 Kinnaman Dr
Flora, IL 62839-4204
Phone
(618) 662-8386

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NPI record

NPI
1104588326
Entity type
Individual (Type 1)
Enumeration date
October 6, 2021
Last updated
October 6, 2021
Certified
October 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 041501632 IL

Mailing address

4241 Highway 14 W
Christopher, IL 62822-1037
Phone
(618) 724-1684

About McKenzi Frederick

McKenzi Frederick, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 165 Kinnaman Dr, Flora, IL 62839-4204. The NPI number 1104588326 was assigned on October 6, 2021 and the record was last updated on October 6, 2021.

McKenzi Frederick lists a license in the registry: #041501632 (IL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of McKenzi Frederick, RN?

The NPI number is 1104588326.

What is the phone number of McKenzi Frederick?

The phone number listed for the practice location is (618) 662-8386.

Where is McKenzi Frederick located?

165 Kinnaman Dr, Flora, IL 62839-4204.

What is the taxonomy code for McKenzi Frederick?

The primary taxonomy code is 163W00000X – Registered Nurse.

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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