Individual
MR. KENNETH B. FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7342 E RAINTREE LN, PORT ORCHARD, WA 98366-8453
(360) 871-1169
Mailing address
2501 SE MILE HILL DR, STE A-101, PORT ORCHARD, WA 98366-3500
(360) 895-4843
(360) 895-4210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33949
WA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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