Individual
LEOLA DENISE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
6934 S BROADWAY AVE, HAYSVILLE, KS 67060-2119
(316) 213-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-71590-032
KS
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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