Fredricks, Kelly Jo

Fredricks, Kelly Jo is an sole proprietor health care provider with primary practice located at 1290 Palmetto Ave , Winter Park FL 32789-4950. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fredricks, Kelly Jo can be contacted via phone (407) 647-2220.

Contact Information

Primary practice address
1290 Palmetto Ave Winter Park FL 32789-4950
Phone: (407) 647-2220
Fax: (407) 647-2221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH11311 Florida

Profile Details

NPI number 1013318138
LBN Legal business name Fredricks, Kelly Jo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2014
Last updated Sep 8th, 2014 - about 12 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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