Provider Demographics
NPI:1013347194
Name:FREY, KAY (ARNP)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:FREY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17639 100TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-5234
Mailing Address - Country:US
Mailing Address - Phone:206-463-3696
Mailing Address - Fax:206-463-4576
Practice Address - Street 1:17639 100TH AVE SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-5234
Practice Address - Country:US
Practice Address - Phone:206-463-3696
Practice Address - Fax:206-463-4576
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007753363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics