MR. KENNETH B. FREDERICK D.C.
NPI 1073628061
Chiropractor in Port Orchard, WA

Active since August 20, 2006Accepts Medicare Assignment
7342 E RAINTREE LN, PORT ORCHARD, WA 98366(360) 871-1169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth B. Frederick D.c. NPPES

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

MR. KENNETH B. FREDERICK D.C. (NPI 1073628061) is an individual chiropractor in Port Orchard, Washington, licensed in Washington (33949) and active in the NPI registry since August 2006. He is a graduate of Life Chiropractic College (2000).

NPPES Registry Identity

NPI1073628061
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. KENNETH B. FREDERICKCredential: D.C.
Location Address7342 E RAINTREE LNPort Orchard, WA 98366-8453
Mailing Address2501 Se Mile Hill Dr, Ste A-101Port Orchard, WA 98366-3500 · (360) 895-4843 · Fax (360) 895-4210
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073628061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · 33949
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.

7342 E RAINTREE LN, Port Orchard, WA 98366

Other Identifiers 2

Medicare UPINU88579
Medicare ID-Type Unspecified8804943

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth B. Frederick D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527048057
PECOS Enrollment IDI20040723000792

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
330 services42 patients

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 Kenneth Frederick's NPI number?

The NPI number for Kenneth Frederick is 1073628061. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kenneth Frederick located?

Kenneth Frederick practices at 7342 E Raintree Ln, Port Orchard, WA 98366. The listed phone number is (360) 871-1169.

What is Kenneth Frederick's specialty?

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

Is Kenneth Frederick enrolled in Medicare?

Yes. Kenneth Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Frederick accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Kenneth Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Frederick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.