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

Kyla Fredrickson, MD

Individual provider Surgical Critical Care Physician · NPI 1417452012

Kyla Fredrickson, MD is a General Surgery in Sanford, Florida. Graduated from Medical College of Wisconsin in 2018, 8 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
Medical College of Wisconsin
Licensed in
FL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone: (608) 397-4223
Show map & directions

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

Additional practice locations (1)

  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence ME169827 (FL)

Record details

NPI number1417452012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2018 (8 years in practice)
Group practice Florida Trauma Services Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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