Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Fredericksen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265372882

Dr. Blake Fredericksen, DO is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

900 S Limestone Ctw 304
Lexington, KY 40536-0293
Phone: (859) 323-2834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (KY)

Record details

NPI number1265372882
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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