Provider Demographics
NPI:1770685034
Name:FRYE, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:FRYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 PARALLEL PARKWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66111-2051
Mailing Address - Country:US
Mailing Address - Phone:913-262-2229
Mailing Address - Fax:913-334-9782
Practice Address - Street 1:8101 PARALLEL PARKWAY
Practice Address - Street 2:SUITE 500
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66111-2051
Practice Address - Country:US
Practice Address - Phone:913-262-2229
Practice Address - Fax:913-334-9782
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS430064174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100451580BMedicaid
KSG91251Medicare UPIN