Individual
KYLE MATTHEW FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18484 KACHINA CT, LAKEVILLE, MN 55044-4886
(952) 993-8800
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2025-02382
NC
208000000X
Pediatrics Physician
Primary
82141
MN
Other
Enumeration date
03/31/2022
Last updated
05/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up