Search › Pennsylvania › 176P00000X
Kelly Frederick
NPI 1588112015 · on the registry since 2016
Practice
- Address
- 1543 Ligonier St
Latrobe, PA 15650 - Phone
- (724) 537-7766
- Fax
- (724) 537-0114
Registry record
- Primary taxonomy
- 176P00000X
176P00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania