KYLE FREDERICK, EEG PROVIDENCE, RI

Contact Information

KYLE FREDERICK

2 REGENCY PLZ STE 3
PROVIDENCE, RI 02903-3149

Phone: 401-484-1706
Fax: 401-437-6959
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	EEG	2472E0500X	75	Slide Preparation Facility

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NPI Profile & details for KYLE FREDERICK · (Male)

NPI Number	`1679089981`
Status	Active
Credentials
Entity	Individual
Enumeration date	12/21/2017
Last updated	12/21/2017 - About 8 years ago
Sole proprietor ¹	No
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KYLE FREDERICKEEG

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Specialty

EEG

NPI Profile & details for KYLE FREDERICK · (Male)

Reviews for KYLE FREDERICK

KYLE FREDERICK
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