IndividualActive
Kezza Frye
NPI 1700405396 · Gerontology Nurse Practitioner · West Allis, WI
Provider details
- NPI number
- 1700405396
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10001-33 (WI)
Practice location
2514 S 102nd St Ste 160
West Allis, WI 53227-2142
Phone: (414) 255-0300
Mailing address
2555 N Dr Martin Luther King Jr Dr
Milwaukee, WI 53212-2709
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.