DR. Kim S Frederickson, MD

NPI #1003995291 in Novato, California

Provider Information

NPI Number: 1003995291
Entity Type: Individual
Name: DR. Kim S Frederickson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Nov 6, 2006
Last Updated: Oct 10, 2008

Practice Location

Address: 400 PROFESSIONAL CENTER DRIVE
Address 2: SUITE 414 NOVATO DERMATOLOGY ASSOCIATES
City: Novato
State: California
ZIP Code: 94947
Phone: (415) 892-0754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Novato Dermatology Associates a Medical Corporation	Dermatology	Novato	AI Deep Dive
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