Fry, Luther L

Fry, Luther L is an individual health care provider with primary practice located at 310 E Walnut St Suite 101, Garden City KS 67846-5560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fry, Luther L can be contacted via phone (620) 275-7248.

Contact Information

Primary practice address
310 E Walnut St Suite 101 Garden City KS 67846-5560
Phone: (620) 275-7248
Fax: (620) 275-5262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13952 Kansas

Profile Details

NPI number 1205858776
LBN Legal business name Fry, Luther L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205858776 NPPES
Kansas MEDICAID 100082380A
Kansas MEDICAID 100192960A
Kansas MEDICAID 91139527

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