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KYLE FREDERICK
NPI 1679089981
Technician, Other - EEG in Providence, RI

Active since December 21, 2017
2 REGENCY PLZ STE 3, PROVIDENCE, RI 02903(401) 484-1706(401) 437-6959 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Frederick NPPES

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

KYLE FREDERICK (NPI 1679089981) is an individual eeg provider in Providence, Rhode Island and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1679089981
Entity TypeIndividualMale
Primary Taxonomy2472E0500X
Provider Legal NameKYLE FREDERICK
Location Address2 REGENCY PLZ STE 3Providence, RI 02903-3149
Mailing Address2 Regency Plz Ste 3Providence, RI 02903-3149 · (401) 484-1706 · Fax (401) 437-6959
Phone(401) 484-1706
Fax(401) 437-6959
Sole ProprietorNo
Enumeration DateDecember 21, 2017
✔ NPI 1679089981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Other · EEGTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2472E0500X
2 REGENCY PLZ STE 3, Providence, RI 02903
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH LEE KIRSTEN
Psychologist
2 REGENCY PLZ STE 3
PROVIDENCE, RI 02903
Providence County (401) 383-8198

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 Kyle Frederick's NPI number?

The NPI number for Kyle Frederick is 1679089981. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Kyle Frederick located?

Kyle Frederick practices at 2 Regency Plz Ste 3, Providence, RI 02903. The listed phone number is (401) 484-1706.

What is Kyle Frederick's specialty?

The primary specialty registered for this NPI is Technician, Other, specializing in EEG, with taxonomy code 2472E0500X.

When was this NPI record last updated?

The NPPES record for Kyle Frederick was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.