Individual
DR. JAMES BRIAN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST STE 415, ASHLAND, KY 41101-2845
(606) 325-6888
(606) 326-9368
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64103179
—
KY
Enumeration date
07/07/2006
Last updated
05/20/2022
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