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Individual

DR. KATHRYN LEIGH FREDERICK

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1514 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 381-7591
Mailing address
1514 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 381-7591

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
#3901
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10050
CIGNA (RUBY TUESDAY)
01
47009
AMERITAS
01
52133
UNITED HEALTH CARE
01
58066
AFLAC
01
60054
AETNA
01
61271
PRINCIPAL
01
62308
CIGNA
01
64246
GUARDIAN
01
65978
METLIFE
01
67814
GE FINANCIAL
01
70408
FORTIS
01
84056
DELTA COLORADO
01
87726
CIGNA (CRACKER BARREL)
01
94276
DELTA GEORGIA
01
CBTN1
BCBS TENNESSEE
01
CDAR1
DELTA ARKANSAS
01
CDMIO
DELTA MICHIGAN
01
CDMN1
DELTA MINNESOTA
01
CDTN1
DELTA TENNESSEE
Enumeration date
11/09/2005
Last updated
07/08/2007
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