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Individual
JEFFREY L FREDERICH
Active
Individual
JEFFREY L FREDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
43994
KY
207Q00000X
Family Medicine Physician
Primary
43994-A
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
43994
KY
208D00000X
General Practice Physician
43994
KY
Other
Enumeration date
07/15/2006
Last updated
12/15/2025
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