MR. KEVIN MATTHEW FRY (NPI# 1720609498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609498 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MATTHEW FRY |
| Credential | MA |
| Practice Address |
208 Conference Center Building 600 Henley Street Knoxville TN 37996-0001 |
| Mailing Address |
1520 Greenbrier Ridge Way Apt 1215 Knoxville TN 37909-3380 |
| Practice Telephone | 8659742161 |
| Mailing Telephone | 6109147371 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3686393 | 05 | |
| TN | PROVIDER N.P.I. | 1134128820 | 01 |
| Street Address |
208 CONFERENCE CENTER BUILDING 600 HENLEY STREET |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37996-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957227 | Advance Medical Transportation Company | Non-emergency Medical Transport (VAN) | 400 Hialeah Dr., #42, Knoxville, TN 37996 | 2009-04-02 |
| 1033232913 | Jennifer Jackson Wilson | Speech-Language Pathologist | 1600 Peyton Manning, Knoxville, TN 37996 | 2007-04-07 |
| 1700810132 | Leticia Yolanda Flores | Psychologist | 600 Henley Street, Suite 208 Ut Psychological Clinic Ut Conference Center, Knoxville, TN 37996 | 2006-07-10 |
| 1821436569 | Clayton Alexander Culp | Social Worker | 1800 Volunteer Blvd, Knoxville, TN 37996 | 2013-06-04 |
| 1487908067 | University of Tennessee Health Science Center | Audiologist | 444 S Stadium Hl, Knoxville, TN 37996-0001 | 2012-11-02 |
| 1750695581 | Steven Michael Doettl | Audiologist | 578 S Stadium Hl, Ut Knoxville, Knoxville, TN 37996-0001 | 2010-08-04 |
| 1720301948 | Casey Laurel Surber | Speech-Language Pathologist | The University of Tennessee, 578 South Stadium Hall, Knoxville, TN 37996-0001 | 2010-03-02 |
| 1619202454 | Gina Owens | Psychologist | 1404 Circle Dr Dept of Psychology, University of Tennessee, Knoxville, TN 37996-0001 | 2009-10-13 |
| 1669604823 | University of Tennessee-knoxville Psychological Clinic | Clinic/Center | 227 Austin Peay Building University of Tenn, Knoxville, TN 37996-0001 | 2009-08-20 |
| 1700015336 | Nola Radford | Speech-Language Pathologist | Hearing and Speech Ctr, 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 | 2009-07-02 |
| Find all providers in zip 37996 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013536762 | Angela N Hilton | Psychologist | 1400 N 6th Ave Ste A7, Knoxville, TN 37917-6043 | 2020-04-13 |
| 1619202454 | Gina Owens | Psychologist | 1404 Circle Dr Dept of Psychology, University of Tennessee, Knoxville, TN 37996-0001 | 2009-10-13 |
| 1023215985 | Robyn Lynne Branca | Psychologist | 4048 Sutherland Ave, Knoxville, TN 37919-5103 | 2007-07-02 |
| 1497975098 | Angie B. Prince | Psychologist | 204 Suburban Rd, Knoxville, TN 37923-5552 | 2007-04-26 |
| 1063549640 | Joan S. Harrigan | Psychologist | 304 S David Ln, Knoxville, TN 37922-3209 | 2007-02-28 |
| 1336283548 | Donald Ray Richardson | Psychologist | 11704 Kingston Pike, Knoxville, TN 37934-3827 | 2007-02-19 |
| 1760537732 | Fort Sanders Clinic Partnership | Psychologist | 2214 White Ave, Knoxville, TN 37916-2218 | 2007-01-23 |
| 1386743003 | Steven C. Wyatt, Ph.d., Inc | Psychologist | 9041 Executive Park Drive, Suite 210, Knoxville, TN 37923 | 2006-09-21 |
| 1457368821 | Douglas Tyler | Psychologist | 5516 Lonas Drive, Suite 250, Knoxville, TN 37909-3250 | 2006-08-01 |
| 1447286778 | Katherine Lynne Moles | Psychologist | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2006-06-26 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on MR. KEVIN MATTHEW FRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.