Kyle Matthew Fredrickson, MD Valid NPI

Individual provider · Pediatrics Physician · Lakeville, MN

NPI

1134869696

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

82141 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2022-03-31

Last updated

2026-05-12