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NPI Code Detail

MEDICARE: KENDRA LYNN FREY MD

MEDICARE: KENDRA LYNN FREY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician35.148284OH

General Provider Information

NPI Number : 1588292353
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA LYNN FREY MD
Provider Business Mailing Address
First Line : 9500 EUCLID AVE, JJ24
Second Line : CLEVELAND CLINIC MED. SPEC. INST. - DPT ENDOCRINOLOGY
City : CLEVELAND
State : OH
Zip : 44195
Country : US
Telephone Number : 216-444-2200
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2020
Last Update Date : 04/15/2026

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