Individual
DAPHNE L. FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1484913081
KS
363LF0000X
Family Nurse Practitioner
Primary
45196
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405840A
—
KS
01
—
30316011
BCBS KC
KS
05
—
429070600
—
MO
01
—
500029863
RR MEDICARE
KS
Enumeration date
03/01/2006
Last updated
11/24/2020
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