NPI 1588112015

Kelly Damian Frederick

Practitioner Funeral Director Latrobe, PA

Practice location

Address: 1543 Ligonier St, Latrobe, PA 15650-2955
Phone: (724) 537-7766
Fax: (724) 537-0114

Registered specialties

Funeral Director Primary

Other Service Providers Taxonomy 176P00000X Licence FD-014493-L (PA)

Other Funeral Director providers in Pennsylvania →

Registry record

NPI: 1588112015
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2016
Record last updated: 13 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.