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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY L FREDERICH, M.D.

Active

JEFFREY L FREDERICH, M.D. is a Family Medicine healthcare provider located in PADUCAH, Kentucky. NPI 1508882010 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PADUCAH, KY

Registration Details

NPI Number
1508882010
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2006 (20.12747362146 yrs)
Last Updated
Dec 15, 2025
Licenses
43994 (KY)
43994-A (KY)
43994 (KY)
43994 (KY)

Practice Information

Address
120 PERSHING WAY
PADUCAH, KY, 420018914
Browse KY providers · Browse ZIP 42001
Phone
2708167526
Fax
2709088322
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Emergency Medicine

Other Family Medicine Providers in PADUCAH, KY

Name Credential NPI
DAVID EARL SMITH JR. M.D. 1912903741
DR. TERRI H TELLE M.D. 1699772244
JOSEPH M O'BRYAN MD 1770570400
JOHN W BRAZZELL MD 1447246186
DR. WILLIAM R CONYER MD 1366409088
DR. DAVID B SAXON MD 1023075173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.