Individual
MS. KIM FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 636-3333
Mailing address
4772 S JOHNSON ST, LITTLETON, CO 80123
(303) 948-9741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88555
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016512
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
03/14/2008
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