Individual
DR. CHARLES JAMES FREDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5819 NW BARRY RD, KANSAS CITY, MO 64154
(816) 741-3855
Mailing address
7423 NW MOSER DR, WEATHERBY LAKE, MO 64152-1792
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2005026467
MO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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