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KELLY DAMIAN FREDERICK
NPI 1588112015
Funeral Director in Latrobe, PA

Active since September 13, 2016
1543 LIGONIER ST, LATROBE, PA 15650(724) 537-7766(724) 537-0114 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Damian Frederick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DAMIAN FREDERICK (NPI 1588112015) is an individual funeral director provider in Latrobe, Pennsylvania, licensed in Pennsylvania (FD-014493-L) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1588112015
Entity TypeIndividualMale
Primary Taxonomy176P00000X
Provider Legal NameKELLY DAMIAN FREDERICK
Location Address1543 LIGONIER STLatrobe, PA 15650-2955
Mailing Address1543 Ligonier StLatrobe, PA 15650-2955 · (724) 537-7766 · Fax (724) 537-0114
Phone(724) 537-7766
Fax(724) 537-0114
Sole ProprietorNo
Enumeration DateSeptember 13, 2016
✔ NPI 1588112015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFuneral DirectorOther Service Providers
Taxonomy Code176P00000X
License✔ Licensed in PA · FD-014493-L
Definition
A person, usually an embalmer, whose business is to arrange for the burial or cremation of the dead and to assist at the funeral rites.
1543 LIGONIER ST, Latrobe, PA 15650
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Frederick's NPI number?

The NPI number for Kelly Frederick is 1588112015. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Kelly Frederick located?

Kelly Frederick practices at 1543 Ligonier St, Latrobe, PA 15650. The listed phone number is (724) 537-7766.

What is Kelly Frederick's specialty?

The primary specialty registered for this NPI is Funeral Director with taxonomy code 176P00000X.

When was this NPI record last updated?

The NPPES record for Kelly Frederick was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.