Individual
RICHARD LANE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-11783
KS
2085R0202X
Diagnostic Radiology Physician
Primary
94-11783
KS
Other
Enumeration date
04/08/2024
Last updated
06/17/2024
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