Individual
KAY A FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2540 106TH ST, STE 101, URBANDALE, IA 50322-3736
(515) 276-5543
(515) 276-2682
Mailing address
2540 106TH ST, STE 101, URBANDALE, IA 50322-3736
(515) 276-5543
(515) 276-2682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
069745
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500009316
RR MEDICARE
IA
Enumeration date
12/30/2005
Last updated
11/12/2015
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