Individual
KAYCEE POWER FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4316 JAMES CASEY ST STE 200, AUSTIN, TX 78745-1116
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208354, DALLAS, TX 75320-8354
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129211
TX
363LF0000X
Family Nurse Practitioner
AP129211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456658YYRM
TEXAS MEDICARE
TX
01
—
712986
TEXAS MEDICARE
TX
01
—
AP129211
TEXAS NURSING PRACTITIONER LICENSE
TX
Enumeration date
10/06/2015
Last updated
03/09/2023
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