Healthcare Provider Details

I. General information

NPI: 1316065600
Provider Name (Legal Business Name): BRITTANY MARIE FRYE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY MARIE FRYE-KUNZ

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 02/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29369 AUBERRY RD SUITE 101
PRATHER CA
93651-9784
US

IV. Provider business mailing address

7083 N TEILMAN AVE # 101
FRESNO CA
93711-0592
US

V. Phone/Fax

Practice location:
  • Phone: 559-855-8445
  • Fax: 559-855-8440
Mailing address:
  • Phone: 559-307-2798
  • Fax: 559-435-4866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number30540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: