Individual
MR. KENTON FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
120 RIVERVIEW DR, CHEHALIS, WA 98532-9624
(360) 388-2623
Mailing address
120 RIVERVIEW DR, CHEHALIS, WA 98532-9624
(360) 388-2623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61237810
WA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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