| Doctor Name: | KENT ALAN FRY |
| NPI Number: | 1013217751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0796 |
| Business Practice Address: | 2320 Freeway Drive Skagit Regional Clinics - Riverbend Orthopedics Mount Vernon, WA - 98273 |
| Business Phone Number: | 3608146800 |
| Business Fax Number: | 3608146917 |
| Mailing Address: | 1400 E. Kincaid Street, Attn: Credentialing MOUNT VERNON |
| State: | WA |
| Postal Code: | 982744127 |
| Phone Number: | 3604282500 |
| Fax Number: | 3604286485 |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0796 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |