IndividualActive
Kelly Frederick
NPI 1588112015 · Funeral Director · Latrobe, PA
Provider details
- NPI number
- 1588112015
- Entity type
- Individual
- Primary specialty
- Funeral DirectorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- FD-014493-L (PA)
Practice location
1543 Ligonier St
Latrobe, PA 15650-2955
Phone: (724) 537-7766
Fax: (724) 537-0114
Mailing address
1543 Ligonier St
Latrobe, PA 15650-2955
Registry dates
- Enumerated
- 2016-09-13
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.