Ashley Kell Frederic | Frontenac, MO • PECOS Search

Ashley Kell Frederic

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

607 S Lindbergh Blvd, Frontenac, MO 63131-2734

(314) 991-5438 (314) 803-4712

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Kell Frederic does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346894052
Provider Type
Individual
Full Name
Frederic, Ashley Kell
Title
Mrs.
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/31/2019
Last Updated
7/31/2019

Contact Information

Practice Location

607 S Lindbergh Blvd, Frontenac, MO 63131-2734

Unlisted Fax

Mailing Location

9332 Pine Ave, Saint Louis, MO 63144-1008

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 2017024417 Missouri