Individual
KATHERINE FRERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1010 N BROADWAY ST STE A, RED OAK, IA 51566-1461
(712) 623-4802
Mailing address
1010 N BROADWAY ST STE A, RED OAK, IA 51566-1461
(712) 623-4802
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
088919
IA
231H00000X
Audiologist
147001255
IL
237700000X
Hearing Instrument Specialist
089609
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
IL
Enumeration date
11/20/2007
Last updated
03/17/2018
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