Individual
KENNETH A FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1753 SELKIRK ST, TOLEDO, OH 43605-3331
(419) 662-1722
(419) 662-1722
Mailing address
PO BOX 195, MILLBURY, OH 43447-0195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN348952
OH
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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