CODY THOMAS FREDERIKSEN

LOUISVILLE, KY
NPI1114869617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-06
Last Update Date2026-05-15
Business Address
CODY THOMAS FREDERIKSEN
571 S FLOYD ST
LOUISVILLE, KY 40202-3818
Phone number: 208-960-2293
Mailing Address
CODY THOMAS FREDERIKSEN
571 S FLOYD ST
LOUISVILLE, KY 40202-3818
Phone number:
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