Mr. Kevin Jerome Frederick
Mr. Kevin Jerome Frederick is a Rehabilitation Practitioner in Long Beach, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1501 Hughes Way Ste 150Long Beach, CA 90810-1876
Phone: (310) 221-6336
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1366878068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 25, 2013 |
| Last updated in NPPES | September 25, 2013 |
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