Kyle Frederick
NPI #1679089981 in Providence, Rhode Island
Provider Information
- NPI Number
- 1679089981
- Entity Type
- Individual
- Name
- Kyle Frederick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other - EEG
- Enumeration Date
- Dec 21, 2017
- Last Updated
- Dec 21, 2017
Practice Location
- Address
- 2 REGENCY PLZ STE 3
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-3149
- Phone
- (401) 484-1706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other - EEG — EEG |
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