Individual
CHASSIDI FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N CHIPPER LN, WICHITA, KS 67212-4209
(316) 648-2659
Mailing address
1151 N CHIPPER LN, WICHITA, KS 67212-4209
(316) 648-2659
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
KS
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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