Objects / Clinician
Clinician Stored source record
Dr. KIM S FREDERICKSON MD
400 PROFESSIONAL CENTER DRIVE, SUITE 414 NOVATO DERMATOLOGY ASSOCIATES, NOVATO, CA, 94947
atlas:atm_npi_1003995291
What is stored
- status
- A
- address
- 400 PROFESSIONAL CENTER DRIVE, SUITE 414 NOVATO DERMATOLOGY ASSOCIATES, NOVATO, CA, 94947
- npi
- 1003995291
- license
- G79619
- taxonomy
- Dermatology
- other names
- []
- last updated
- 2008-10-10
- license state
- CA
- taxonomy code
- 207N00000X
- all taxonomies
- ["Dermatology"]
- sole proprietor
- NO
- enumeration date
- 2006-11-06
- enumeration type
- NPI-1
- practice locations
- 0
Connected objects
has profession
Up to 200 incoming and 200 outgoing links shown. 0 incoming links in total.
Read and page through the edgesThe same object as JSON
Open JSON · Atlas source representation
Read fact fields
{
"npi": "1003995291",
"status": "A",
"address": "400 PROFESSIONAL CENTER DRIVE, SUITE 414 NOVATO DERMATOLOGY ASSOCIATES, NOVATO, CA, 94947",
"license": "G79619",
"taxonomy": "Dermatology",
"other_names": [],
"last_updated": "2008-10-10",
"license_state": "CA",
"taxonomy_code": "207N00000X",
"all_taxonomies": [
"Dermatology"
],
"sole_proprietor": "NO",
"enumeration_date": "2006-11-06",
"enumeration_type": "NPI-1",
"practice_locations": 0
}