Individual
DR. VALERIE FREDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
913 PARADISE DR, MURRAY, KY 42071-5074
(270) 436-5916
Mailing address
913 PARADISE DR, MURRAY, KY 42071-5074
(270) 436-5916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488158
KENTUCKY BLUE CROSS BLUE
KY
01
—
1231499
CHA HEALTH
KY
Enumeration date
01/09/2007
Last updated
07/08/2007
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