MEDICARE: KIMBERLY FRAZER MD

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
1	207Q00000X	Family Medicine Physician	35071528F	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396713285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY FRAZER MD

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD
Second Line	:	STE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-4134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 GALLOWAY RD
Second Line	:
City	:	GALLOWAY
State	:	OH
Zip	:	43119-8293
Country	:	US
Telephone Number	:	614-533-6770
Fax Number	:	614-851-9586

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/05/2022

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Directions to “ KIMBERLY FRAZER MD” Practice Location

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