Individual
KRISTY MICHELLE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 20TH ST, COLUMBUS, NE 68601-3223
(402) 416-7958
Mailing address
2801 20TH ST, COLUMBUS, NE 68601-3223
(402) 416-7958
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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