Kim S Frederickson in Novato - Dermatology
Kim S Frederickson - NPI 1003995291
Kim S Frederickson is a Dermatology in Novato, California. Kim S Frederickson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kim S Frederickson is 1003995291. The last update date is 2008-10-10.
Kim S Frederickson's current location address is 400 Professional Center Drive, Novato, California. You can contact this provider via phone number 4158920754 and fax number 4158973204. The mailing address for Kim S Frederickson is 400 Professional Center Drive, Novato, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim S Frederickson |
|---|---|
| Address | 400 Professional Center Drive, Novato, California |
| Phone Number | 4158920754 |
| Fax Number | 4158973204 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003995291 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2008-10-10 |
Provider Mailing Address Detail
| Address | 400 Professional Center Drive |
|---|---|
| City | Novato |
| State | California (CA) |
| Post Code | 94947 |
| Phone Number | 4158920754 |
| Fax Number | 4158973204 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G79619 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the unique identifier code issued to Kim S Frederickson by the Centers for Medicare & Medicaid Services (CMS)?
The Kim S Frederickson has been assigned the NPI (National Provider Identifier) 1003995291. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kim S Frederickson?
The Kim S Frederickson is situated at 400 Professional Center Drive, in the city of Novato, state of CA, with the zip code 94947.
What is Kim S Frederickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kim S Frederickson's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date was the 1003995291 assigned to Kim S Frederickson?
The Kim S Frederickson was issued its 1003995291 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kim S Frederickson most recently updated or revised?
The details related to Kim S Frederickson, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-10.
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