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

Kelly Damian Frederick

Individual provider Funeral Director · NPI 1588112015

Kelly Damian Frederick is a Funeral Director in Latrobe, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016

Practice location Address checks out

1543 Ligonier St
Latrobe, PA 15650-2955
Phone: (724) 537-7766
Fax: (724) 537-0114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Funeral Director (primary) Taxonomy 176P00000X · Licence FD-014493-L (PA)

Record details

NPI number1588112015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016