Provider Demographics
NPI:1588923833
Name:FRYS, KELLY ANN (DO)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ANN
Last Name:FRYS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:50 SAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3112
Mailing Address - Country:US
Mailing Address - Phone:917-981-9979
Mailing Address - Fax:
Practice Address - Street 1:4 WALTER E FORAN BLVD STE 302
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4668
Practice Address - Country:US
Practice Address - Phone:908-806-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09337900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology