Fry, Kent Alan
Fry, Kent Alan is an individual health care provider with primary practice located at 2320 Freeway Drive Skagit Regional Clinics - Riverbend Orthopedics, Mount Vernon WA 98273. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Fry, Kent Alan can be contacted via phone (360) 814-6800.Contact Information
Primary practice address
2320 Freeway Drive Skagit Regional Clinics - Riverbend Orthopedics
Mount Vernon WA 98273
Phone: (360) 814-6800
Fax: (360) 814-6917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60188670 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA158179 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60188670 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0796 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60188670 | Washington |
Profile Details
| NPI number | 1013217751 |
|---|---|
| LBN Legal business name | Fry, Kent Alan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Sep 4th, 2020 - about 5 years ago |
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 | 1013217751 | NPPES |
| Washington | MEDICAID | 1013217751 |
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