Fredrick, Karen J

Fredrick, Karen J is an sole proprietor health care provider with primary practice located at 4303 39Th Ave , Kenosha WI 53144-1969. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fredrick, Karen J can be contacted via phone (622) 653-4444.

Contact Information

Primary practice address
4303 39Th Ave Kenosha WI 53144-1969
Phone: (622) 653-4444
Fax: (262) 925-0440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 78408-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4412-33 Wisconsin

Profile Details

NPI number 1679569826
LBN Legal business name Fredrick, Karen J
Credentials RN, WHNP, MSN, NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Jul 14th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679569826 NPPES
Wisconsin MEDICAID 43949100
Wisconsin MEDICAID 1679569826

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