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Dr. John Wayne Fricker Jr., DPM

Podiatrist in Frankfort, KY. Individual provider (NPI-1).

NPI number1346358843
StatusActive
Last updated in NPPESNov 11, 2023

Details

NPI
1346358843
Entity type
Individual (NPI-1)
Name
Dr. John Wayne Fricker Jr.
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 26, 2006
Certification date
Nov 11, 2023
Last updated
Nov 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist244150KYYes
213E00000X Podiatrist246KY
213EP1101X Podiatrist, Primary Podiatric Medicine00246KY

Practice location

110 Diagnostic Dr Ste A
Frankfort, KY 40601-6557

Phone 502-219-7937 · Fax 502-219-7948

Mailing address

110 Diagnostic Dr Ste A
Frankfort, KY 40601-6557

Phone 502-219-7937 · Fax 502-219-7948

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