Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Frederick

Individual provider EEG Technician · NPI 1679089981

Kyle Frederick is an EEG Technician in Providence, Rhode Island. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

2 Regency Plz Ste 3
Providence, RI 02903-3149
Phone: (401) 484-1706
Fax: (401) 437-6959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

EEG Technician (primary) Taxonomy 2472E0500X

Record details

NPI number1679089981
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 21, 2017