Individual
KAIMEN L FRIDERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 STATE ST, NEW ALBANY, IN 47150-4921
(812) 949-5700
(812) 949-5791
Mailing address
PO BOX 734839, CHICAGO, IL 60673-4839
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003240A
IN
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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