Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE MATTHEW FREDRICKSON, MD
ActiveKYLE MATTHEW FREDRICKSON, MD is a Pediatrics healthcare provider located in WINSTON SALEM, North Carolina. NPI 1134869696 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1134869696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2022 (4.3312335343724 yrs)
- Last Updated
- Jan 22, 2026
- License
-
2025-02382 (NC)
Practice Information
- Address
-
MEDICAL CENTER BOULEVARDWINSTON SALEM, NC, 271570001Browse NC providers · Browse ZIP 27157
- Phone
- 3367169252
- Fax
- 3367139387
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| NICOLE J CRAVEN | MD | 1104821644 |
| JERRY L BENNETT | MD | 1750382321 |
| CHARLES D. BRICKNER | MD | 1912909748 |
| PEGGY A BYUN | MD | 1720080674 |
| MARCELA ISABEL HEINRICH | MD | 1871585083 |
| SHELLEY RAE KREITER | MD | 1255323465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.