Individual
KAITLIN E FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 SUPERIOR AVE STE B, MUNSTER, IN 46321-4038
(219) 333-4757
Mailing address
717 COTTONWOOD DR, DYER, IN 46311-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014465A
IN
Other
Enumeration date
10/24/2023
Last updated
10/31/2023
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