Fry, Jena L
Fry, Jena L is an individual health care provider with primary practice located at 712 Saint John St , Garden City KS 67846-5128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fry, Jena L can be contacted via phone (620) 275-1766.Contact Information
Primary practice address
712 Saint John St
Garden City KS 67846-5128
Phone: (620) 275-1766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1500856 | Kansas |
Profile Details
| NPI number | 1811909609 |
|---|---|
| LBN Legal business name | Fry, Jena L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Apr 2nd, 2024 - 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 | 1811909609 | NPPES |
| Kansas | MEDICAID | 100450410A |
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