KYLE FREDERICK – NPI #1679089981
Technician, Other

KYLE FREDERICK is a technician located in PROVIDENCE, RI. NPPES has assigned the NPI number 1679089981 to KYLE FREDERICK on December 21, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2472E0500X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other, specializing in EEG

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KYLE FREDERICK below.

NPI Profile for
KYLE FREDERICK

NPI Number
1679089981
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KYLE FREDERICK
Primary location
2 REGENCY PLZ STE 3
PROVIDENCE, RI 02903-3149
Phone: (401) 484-1706 Fax: (401) 437-6959
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2472E0500X
- Technician, Other / EEG (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.