Individual
KEZZA FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10001-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
10001-33
WI
Other
Enumeration date
04/13/2020
Last updated
03/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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