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

Mr. Kenneth B. Frederick, DC

Individual provider Chiropractor · NPI 1073628061

Mr. Kenneth B. Frederick, DC is a Chiropractic in Port Orchard, Washington. Graduated from Life Chiropractic College in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Trained at
Life Chiropractic College
Licensed in
WA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

7342 E Raintree Ln
Port Orchard, WA 98366-8453
Phone: (360) 871-1169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 33949 (WA)

Record details

NPI number1073628061
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2501 Se Mile Hill Dr, Ste A-101, Port Orchard, WA 98366-3500

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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