Ruth Kellum Fredericks in Jackson - Specialist
Ruth Kellum Fredericks - NPI 1730138843
Ruth Kellum Fredericks is a Specialist in Jackson, Mississippi. Ruth Kellum Fredericks practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ruth Kellum Fredericks is 1730138843. The last update date is 2020-12-23.
Ruth Kellum Fredericks's current location address is Po Box 23666, Jackson, Mississippi. You can contact this provider via phone number 6012004749 and fax number 6012005929. The mailing address for Ruth Kellum Fredericks is Po Box 23666, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ruth Kellum Fredericks |
|---|---|
| Address | Po Box 23666, Jackson, Mississippi |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730138843 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | Po Box 23666 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392253666 |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11722 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113670 | MS | -- |
Post Comment/ Review Below
What is the Ruth Kellum Fredericks's unique identification number?
The Ruth Kellum Fredericks has been assigned the NPI (National Provider Identifier) Number 1730138843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Ruth Kellum Fredericks's facilities are geographically located?
The facilities of Ruth Kellum Fredericks are physically situated at the following location: Po Box 23666, Jackson, MS, 392253666.
What is the Ruth Kellum Fredericks's area of specialization and corresponding taxonomy classification?
The Ruth Kellum Fredericks's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1730138843 to Ruth Kellum Fredericks?
The Ruth Kellum Fredericks received its 1730138843 assignment from the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the information pertaining to Ruth Kellum Fredericks most recently updated or revised?
The details related to Ruth Kellum Fredericks, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-23.
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