Frederickson, Kim S

Frederickson, Kim S is an individual health care provider with primary practice located at 400 Professional Center Drive Suite 414 Novato Dermatology Associates, Novato CA 94947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Frederickson, Kim S can be contacted via phone (415) 892-0754.

Contact Information

Primary practice address
400 Professional Center Drive Suite 414 Novato Dermatology Associates Novato CA 94947
Phone: (415) 892-0754
Fax: (415) 897-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G79619 California

Profile Details

NPI number 1003995291
LBN Legal business name Frederickson, Kim S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Oct 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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