Jeffrey L Frederich
Emergency Physician General Practice Physician Family Doctor - Addiction Medicine
120 Pershing Way
Paducah
, Kentucky 42001-8914
Jeffrey L Frederich
Emergency Physician General Practice Physician Family Doctor - Addiction Medicine
120 Pershing Way
Paducah
, Kentucky 42001-8914
(270) 908-8322
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About
Features
Specialties
- Emergency Physician
- Family Doctor - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jeffrey L Frederich
- 120 Pershing Way
- Paducah, KY
- Zip : 42001-8914
- Fax : (270) 908-8322
- Phone : (270) 816-7526
Second Address
- Jeffrey L Frederich
- 120 Pershing Way
- Paducah, KY
- Zip : 42001-8914
- Fax : (270) 908-8322
- Phone : (270) 816-7526
Reviews
FAQs
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Is Jeffrey L Frederich a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 43994 | KY |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 43994 | KY |
| N | 208D00000X | General Practice Physician | 43994 | KY |
National Provider Identifier
| NPI | 1508882010 |
|---|---|
| Provider Name | Jeffrey L Frederich |
| First Address | Paducah, KY 42001-8914 |
| Second Address | Paducah, KY 42001-8914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 15/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43994 | KENTUCKY MEDICAL LICENSE (01) | KY |
| 7100109070 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.