Frederiksen, Kirsten E
Frederiksen, Kirsten E is an individual health care provider with primary practice located at 10085 Double R Blvd Ste 325 , Reno NV 89521-4832. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Frederiksen, Kirsten E can be contacted via phone (775) 982-5073.Contact Information
Primary practice address
10085 Double R Blvd Ste 325
Reno NV 89521-4832
Phone: (775) 982-5073
Fax: (775) 982-3958
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16719 | Nevada |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 16719 | Nevada |
Allopathic & Osteopathic Physicians / Obesity Medicine | 207RB0002X | 16719 | Nevada |
Profile Details
NPI number | 1518057314 |
---|---|
LBN Legal business name | Frederiksen, Kirsten E |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518057314 | NPPES |
Arizona | MEDICAID | 963137 | |
Arizona | MEDICAID | 201313100 | |
Arizona | Other | P01588213 |
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