Individual
BOBBIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
132 VILLAGE CENTER RD, HARLAN, KY 40831-1777
(606) 573-7771
(606) 573-2809
Mailing address
282 HIGHWAY 2425, HARLAN, KY 40831-7063
(859) 618-5520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1124253
KY
363LF0000X
Family Nurse Practitioner
Primary
4015323
KY
Other
Enumeration date
12/07/2021
Last updated
06/30/2025
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