Fry, Kevin Matthew

Fry, Kevin Matthew is an individual health care provider with primary practice located at 208 Conference Center Building 600 Henley Street , Knoxville TN 37996-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Fry, Kevin Matthew can be contacted via phone (865) 974-2161.

Contact Information

Primary practice address
208 Conference Center Building 600 Henley Street Knoxville TN 37996-0001
Phone: (865) 974-2161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1720609498
LBN Legal business name Fry, Kevin Matthew
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2020
Last updated May 4th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720609498 NPPES
Tennessee Other 1134128820 PROVIDER N.P.I.
Tennessee MEDICAID 3686393 PROVIDER N.P.I.

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