Individual provider · Type 1 NPI
Kenneth B. Frederick, DC
Chiropractor · Port Orchard, WA
NPI number
1073628061
Active
Practice location
7342 E Raintree Ln
Port Orchard, WA 98366-8453
Mailing address
2501 SE Mile Hill Dr, Ste A-101
Port Orchard, WA 98366-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 33949 (WA) |
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 1073628061
Kenneth B. Frederick, DC's National Provider Identifier is 1073628061, issued on Aug 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orchard, WA. The record was last updated on Jul 8, 2007.