Individual provider · Type 1 NPI

Kent Alan Fry, PA-C

Surgical Physician Assistant · Mount Vernon, WA

NPI number 1013217751 Active

Practice location

2320 Freeway Drive, Skagit Regional Clinics - Riverbend Orthopedics
Mount Vernon, WA 98273

Call (360) 814-6800 Map

Fax (360) 814-6917

Mailing address

1400 E. Kincaid Street, Attn: Credentialing
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60188670 (WA)
Physician Assistant 363A00000XPA158179 (OR)
Medical Physician Assistant 363AM0700XPA60188670 (WA)
Medical Physician Assistant 363AM0700X0796 (SD)
Surgical Physician Assistant Primary 363AS0400XPA60188670 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1013217751

Kent Alan Fry, PA-C's National Provider Identifier is 1013217751, issued on Oct 28, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mount Vernon, WA. The record was last updated on Sep 4, 2020.