DR. Kevin A Fredericks, D.C.

NPI #1104906213 in Carol Stream, Illinois

Provider Information

NPI Number: 1104906213
Entity Type: Individual
Name: DR. Kevin A Fredericks, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 166 N GARY AVE
City: Carol Stream
State: Illinois
ZIP Code: 60188-2093
Phone: (630) 665-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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