| Doctor Name: | KAY FREY |
| NPI Number: | 1013347194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007753 |
| Business Practice Address: | 17639 100th Ave Sw Vashon, WA - 980705234 |
| Business Phone Number: | 2064633696 |
| Business Fax Number: | 2064634576 |
| Mailing Address: | 17639 100th Ave Sw, VASHON |
| State: | WA |
| Postal Code: | 980705234 |
| Phone Number: | 2064633696 |
| Fax Number: | 2064634576 |
| NPI Enumeration Date: | 11/26/2013 |
| NPI Last Update Date: | 11/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP30007753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |