MRS. KELLY JO FREDRICKS D.C.
NPI 1013318138
Chiropractor in Winter Park, FL

Active since September 08, 2014
1290 PALMETTO AVE, WINTER PARK, FL 32789(407) 647-2220(407) 647-2221 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Jo Fredricks D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY JO FREDRICKS D.C. (NPI 1013318138) is an individual chiropractor in Winter Park, Florida, licensed in Florida (CH11311) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1013318138
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMRS. KELLY JO FREDRICKSCredential: D.C.
Location Address1290 PALMETTO AVEWinter Park, FL 32789-4950
Mailing Address1290 Palmetto AveWinter Park, FL 32789-4950 · (407) 647-2220 · Fax (407) 647-2221
Fax(407) 647-2221
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
NPI 1013318138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH11311
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1290 PALMETTO AVE, Winter Park, FL 32789

Other Names 1

Former Name (1)Kelly Jo Telsrow

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1290 PALMETTO AVE
WINTER PARK, FL 32789
Chiropractor
1290 PALMETTO AVE
WINTER PARK, FL 32789
Chiropractor
1290 PALMETTO AVE
WINTER PARK, FL 32789
Physical Therapist
1290 PALMETTO AVE
WINTER PARK, FL 32789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Fredricks's NPI number?

The NPI number for Kelly Fredricks is 1013318138. It was assigned to this individual provider in the NPPES registry on September 8, 2014. The provider is also known as Kelly Jo Telsrow.

Where is Kelly Fredricks located?

Kelly Fredricks practices at 1290 Palmetto Ave, Winter Park, FL 32789. The listed phone number is (407) 647-2220.

What is Kelly Fredricks's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kelly Fredricks was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.