Fry, Charlen
Fry, Charlen is an sole proprietor health care provider with primary practice located at 200 Brule St Bldg 871 , Fort Knox KY 40121-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fry, Charlen can be contacted via phone (502) 626-9745.Contact Information
Primary practice address
200 Brule St Bldg 871
Fort Knox KY 40121-6100
Phone: (502) 626-9745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38012 | Kentucky |
Profile Details
| NPI number | 1891763835 |
|---|---|
| LBN Legal business name | Fry, Charlen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jun 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891763835 | NPPES |
| Kentucky | Other | P00081750 | RAILROAD MCR |
| Kentucky | MEDICAID | 64067952 | RAILROAD MCR |
| Kentucky | Other | 000000300289 | RAILROAD MCR |
| Kentucky | Other | 2443136000 | RAILROAD MCR |
| Kentucky | Other | 50001558 | RAILROAD MCR |
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