Organization
FREDERICK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH B FREDERICK D.C. (OWNER)
(360) 895-4843
Entity
Organization
Contact information
Practice address
2501 SE MILE HILL DR, STE. A-101, PORT ORCHARD, WA 98366-3500
(360) 895-4843
(360) 895-4210
Mailing address
2501 SE MILE HILL DR, STE. A-101, PORT ORCHARD, WA 98366-3500
(360) 895-4843
(360) 895-4210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00033949
WA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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