Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DAMIAN FREDERICK
ActiveKELLY DAMIAN FREDERICK is a Funeral Director healthcare provider located in LATROBE, Pennsylvania. NPI 1588112015 is currently active in the NPPES registry. Verify at CMS.
Funeral Director · LATROBE, PA
Registration Details
- NPI Number
- 1588112015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2016 (9.9398850866211 yrs)
- Last Updated
- Sep 13, 2016
- License
-
FD-014493-L (PA)
Practice Information
- Address
-
1543 LIGONIER STLATROBE, PA, 156502955Browse PA providers · Browse ZIP 15650
- Phone
- 7245377766
- Fax
- 7245370114
- Primary Specialty
-
Funeral Director
176P00000X
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.