Individual
KENNETH LEE FRYE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(407) 303-6413
Mailing address
9880 TIVOLI CHASE DR, ORLANDO, FL 32829-8232
(321) 662-8415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS15405
FL
Other
Enumeration date
03/24/2016
Last updated
06/12/2019
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