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NPI Code Detail

MEDICARE: KAYDEN RANAE FRICKE PA-C

MEDICARE: KAYDEN RANAE FRICKE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1376406710
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYDEN RANAE FRICKE PA-C
Provider Business Mailing Address
First Line : 5709 DEER PINES DR
Second Line :
City : CLINTON
State : OH
Zip : 44216-8630
Country : US
Telephone Number : 330-957-2070
Fax Number :
Provider Business Practice Location Address
First Line : 1972 CLARK AVE
Second Line :
City : ALLIANCE
State : OH
Zip : 44601-3929
Country : US
Telephone Number : 330-823-2419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ KAYDEN RANAE FRICKE PA-C” Practice Location

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