Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beau Fry

Individual provider Family Medicine Physician · NPI 1891310678

Beau Fry is a Family Practice in Wichita, Kansas. Qualified in 2020, 6 years ago. Practices with Avera St Anthonys Hospital, a 23-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2020
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Practice location Address checks out

1010 N Kansas St
Wichita, KS 67214-3124
Phone: (316) 293-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 94-10384 (KS)

Record details

NPI number1891310678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Avera St Anthonys Hospital — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wichita