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

Keith J. Frederick, DO

Individual provider Orthopaedic Surgery Physician · NPI 1366552762

Keith J. Frederick, DO is an Orthopaedic Surgery Physician in Rolla, Missouri. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 364-9000
Fax: (573) 202-2484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1050 W 10th St, Rolla, MO 65401-2905 — (573) 364-5633
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence R4D88 (MO)

Record details

NPI number1366552762
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address1050 W 10th St, Rolla, MO 65401-2905

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