MRS. KELLY JO FREDRICKS (D.C.) – Chiropractor, NPI 1013318138

MRS. KELLY JO FREDRICKS (D.C.) is a healthcare provider. based in Winter park, Florida. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. CH11311 (FL). The NPI Number for MRS. KELLY JO FREDRICKS (D.C.) is 1013318138

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
MRS. KELLY JO FREDRICKS (D.C.)
NPI
1013318138
Phone
(407) 647-2220
Address
1290 PALMETTO AVE
Enumeration Date
8 September 2014
Last Update Date
8 September 2014

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
4076477230
Graduation Year
2014 (12 years ago)
PAC ID
7113246588
Group Practice PAC ID
8527041938
Professional Enrollment ID
I20150506001473
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLY JO FREDRICKS (D.C.)

  • 1290 PALMETTO AVE

    WINTER PARK, FL 327894950

    Phone: (407) 647-2220

    Fax: (407) 647-2221

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32789)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527041938View full group profile
NameSpecialtyState
-FL

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Frequently asked questions

What federal number belongs to MRS. KELLY JO FREDRICKS (D.C.)?
The federal identifier for MRS. KELLY JO FREDRICKS (D.C.) is NPI 1013318138.
Does this profile mean MRS. KELLY JO FREDRICKS (D.C.) is currently active?
Yes — MRS. KELLY JO FREDRICKS (D.C.) appears active in the national provider directory.
What kind of provider is MRS. KELLY JO FREDRICKS (D.C.)?
The page reflects Chiropractor for MRS. KELLY JO FREDRICKS (D.C.). Clinical services aligned with this taxonomy classification.
Where is MRS. KELLY JO FREDRICKS (D.C.)'s primary listing?
We display Winter Park, Florida because that is what the record indicates for MRS. KELLY JO FREDRICKS (D.C.).
Is MRS. KELLY JO FREDRICKS (D.C.) a real provider?
This page reflects official NPPES data for NPI 1013318138. Always confirm identity and privileges with the practice and licensing boards.

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