DR. KIM FREDERICKSON, MD

Dermatology

Active Individual
NPI: 1003995291

Practice Address

400 PROFESSIONAL CENTER DRIVE
SUITE 414 NOVATO DERMATOLOGY ASSOCIATES
Novato, CA 94947

Phone: (415) 892-0754

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes G79619 (CA)

Frequently Asked Questions

NPI 1003995291 is the National Provider Identifier for DR. KIM FREDERICKSON, MD, a Dermatology provider located in Novato, CA. This NPI was enumerated on November 6, 2006.
DR. KIM FREDERICKSON, MD practices at 400 PROFESSIONAL CENTER DRIVE, SUITE 414 NOVATO DERMATOLOGY ASSOCIATES, Novato, CA 94947.

Quick Facts

NPI
1003995291
Type
Individual
Enumerated
Nov 6, 2006
Last Updated
Oct 10, 2008

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