Individual provider · Type 1 NPI

Kyle Matthew Fredrickson, MD

Pediatrics Physician · Lakeville, MN

NPI number 1134869696 Active

Practice location

18484 Kachina Ct
Lakeville, MN 55044-4886

Call (952) 993-8800 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • Medical Center Boulevard, Winston Salem, NC 27157-0001 · (336) 716-9252

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2025-02382 (NC)
Pediatrics Physician Primary 208000000X82141 (MN)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

7 other providers at this address

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About NPI 1134869696

Kyle Matthew Fredrickson, MD's National Provider Identifier is 1134869696, issued on Mar 31, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Lakeville, MN. The record was last updated on May 12, 2026.