KIM ANN FREDERICKSEN

THORNTON, CO
NPI1528103843
Professional NameKIM A. FREDERICKSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  DR.0046734)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MD  T4918)
Enumeration Date2007-02-21
Last Update Date2015-06-25
Business Address
-- KIM ANN FREDERICKSEN
9191 GRANT ST.
THORNTON, CO 80229-8812
Phone number: 303-450-4482
Mailing Address
-- KIM ANN FREDERICKSEN
PO BOX 173862
DENVER, CO 80217-3862
Phone number: 303-306-7783