Individual provider · Type 1 NPI

Kelly Jo Fredricks, DC

Chiropractor · Winter Park, FL

NPI number 1013318138 Active

Practice location

1290 Palmetto Ave
Winter Park, FL 32789-4950

Call (407) 647-2220 Map

Fax (407) 647-2221

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH11311 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1013318138

Kelly Jo Fredricks, DC's National Provider Identifier is 1013318138, issued on Sep 8, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Winter Park, FL. The record was last updated on Sep 8, 2014.