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Individual

DR. JOHN WAYNE FRICKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
110 DIAGNOSTIC DR STE A, FRANKFORT, KY 40601-6557
(502) 219-7937
(502) 219-7948
Mailing address
110 DIAGNOSTIC DR STE A, FRANKFORT, KY 40601-6557
(502) 219-7937
(502) 219-7948

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244150
KY
213E00000X
Podiatrist
246
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
00246
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000184063
ANTHEM
KY
05
80002462
KY
01
P00071331
RAILROAD MEDICARE
KY
Enumeration date
08/26/2006
Last updated
11/11/2023
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