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

MS. Kelly Fruth

Individual provider Physician Assistant · NPI 1730701285

MS. Kelly Fruth is a Physician Assistant in Grants Pass, Oregon. Qualified in 2019, 7 years ago. Practices with Asante Physician Partners, a 225-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
7
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

520 SW Ramsey Ave
Grants Pass, OR 97527-5535
Phone: (541) 472-7810
Fax: (541) 472-7811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA214041 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 57800 (CA)

Record details

NPI number1730701285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grants Pass