KELLY K FREDERICK
NPI 1821652876
Psychologist - School in Warren, IN
About Kelly K Frederick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY K FREDERICK (NPI 1821652876) is an individual school provider in Warren, Indiana, licensed in Indiana (10267664) and active in the NPI registry since April 2019.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 1821652876. It was assigned to this individual provider in the NPPES registry on April 25, 2019.
Where is Kelly Frederick located?
Kelly Frederick practices at 1063 E 900 S, Warren, IN 46792. The listed phone number is (260) 468-3093.
What is Kelly Frederick's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Kelly Frederick was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.