Most Relevant Information
Provider Data
| NPI Number: | 1003265042 |
| Provider Name: | KELLY FRUHWIRTH |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2016 |
| Last Updated: | 06/09/2016 |
Provider Practice Location
650 EDISON WAY
RENO
NV
895024100
Practice Location Phone/Fax
| Phone: | 7752844717 |
| Fax: | 7752844595 |
Provider Mailing Location
650 EDISON WAY
RENO
NV
895024100
Provider Mailing Phone/Fax
| Phone: | 7752844717 |
| Fax: | 7752844595 |