Individual
RACHEL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
Mailing address
PO BOX 638685, CINCINNATI, OH 45263-5305
(877) 882-5644
(734) 763-9298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301509631
MI
207P00000X
Emergency Medicine Physician
Primary
TP258
KY
Other
Enumeration date
05/15/2020
Last updated
07/10/2024
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