Fruth, Kelly

Fruth, Kelly is an individual health care provider with primary practice located at 520 Sw Ramsey Ave , Grants Pass OR 97527-5535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fruth, Kelly can be contacted via phone (541) 472-7810.

Contact Information

Primary practice address
520 Sw Ramsey Ave Grants Pass OR 97527-5535
Phone: (541) 472-7810
Fax: (541) 472-7811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57800 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA214041 Oregon

Profile Details

NPI number 1730701285
LBN Legal business name Fruth, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated Jun 26th, 2023 - about 3 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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