Individual
DR. KEVIN FRICKA
Active
Individual
DR. KEVIN FRICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101239380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1429314
AETNA HMO
—
01
—
148820100
DEPT OF LABOR ID
—
01
—
2155571
MAMSI ID
—
01
—
239324
ANTHEM ID
—
01
—
25090077
BLUE CROSS BLUE SHIELD ID
—
01
—
259963
KAISER
—
01
—
2683333
UNITED ID
—
01
—
7235819
AETNA ID
—
01
—
763958
NCPPO
—
Enumeration date
01/17/2006
Last updated
03/24/2023
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