Individual
ISAIAH FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087626A
IN
207R00000X
Internal Medicine Physician
55868
KY
207R00000X
Internal Medicine Physician
57.023726
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35.127366
OH
208M00000X
Hospitalist Physician
01087626A
IN
208M00000X
Hospitalist Physician
Primary
55868
KY
Other
Enumeration date
10/30/2013
Last updated
12/19/2023
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