Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEZZA FRYE
ActiveKEZZA FRYE is a Gerontological Nurse Practitioner healthcare provider located in WEST ALLIS, Wisconsin. NPI 1700405396 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · WEST ALLIS, WI
Registration Details
- NPI Number
- 1700405396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2020 (6.2926824179787 yrs)
- Last Updated
- Mar 11, 2025
- Licenses
-
10001-33 (WI)10001-33 (WI)
Practice Information
- Address
-
2514 S 102ND ST STE 160WEST ALLIS, WI, 532272142Browse WI providers · Browse ZIP 53227
- Phone
- 4142550300
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.