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Individual
KAYCEE POWER FREDERICK
Active
Individual
KAYCEE POWER FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129211
TX
363LF0000X
Family Nurse Practitioner
AP129211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456658YYRM
TEXAS MEDICARE
TX
01
—
712986
TEXAS MEDICARE
TX
01
—
AP129211
TEXAS NURSING PRACTITIONER LICENSE
TX
Enumeration date
10/06/2015
Last updated
03/09/2023
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