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Individual

KEZZA FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142
(414) 255-0300
Mailing address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080

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
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