Individual
AERIEL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
219 MOUNTAIN PARKWAY SPUR RD, CAMPTON, KY 41301-8988
(606) 668-3120
Mailing address
PO BOX 220, CAMPTON, KY 41301-0220
(606) 668-3120
(606) 668-3125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013168
KY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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