IndividualActive
Kyle Frederick
NPI 1679089981 · EEG Technician · Providence, RI
Provider details
- NPI number
- 1679089981
- Entity type
- Individual
- Primary specialty
- EEG TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2 Regency Plz Ste 3
Providence, RI 02903-3149
Phone: (401) 484-1706
Fax: (401) 437-6959
Approximate (ZIP-level) locationGet directions
Mailing address
2 Regency Plz Ste 3
Providence, RI 02903-3149
Registry dates
- Enumerated
- 2017-12-21
- Last updated
- 2017-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.