KIM FREDERICKSON, MD — NPI 1003995291 — Dermatology — (CA)
KIM FREDERICKSON, MD — NPI 1003995291 — Dermatology — (CA) is one of 9,000 providers in the NPIVerify dataset. Key details — Provider name: KIM FREDERICKSON, MD; NPI number: 1003995291; Entity type: Individual.
| Provider name | KIM FREDERICKSON, MD |
|---|---|
| NPI number | 1003995291 |
| Entity type | Individual |
| Credential | MD |
| Primary specialty | Dermatology |
| State | CA |
| City | NOVATO |
| ZIP code | 94947 |
| Phone | 415-892-0754 |
| NPI status | A |
| Enumeration date | 2006-11-06 |
| Last updated | 2008-10-10 |
$199/mo
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