NPI 1679089981

Kyle Frederick

Practitioner EEG Technician Providence, RI

Practice location

Address: 2 Regency Plz STE 3, Providence, RI 02903-3149
Phone: (401) 484-1706
Fax: (401) 437-6959

Registered specialties

EEG Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X

Other Technician, Other providers in Rhode Island →

Registry record

NPI: 1679089981
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2017
Record last updated: 21 Dec 2017

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.