Individual
DOROTHY KATHERINE FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5600
(262) 948-5735
Mailing address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5600
(262) 948-5735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7903-033
WI
367500000X
Certified Registered Nurse Anesthetist
AP127249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072228
—
WI
Enumeration date
01/20/2015
Last updated
04/14/2022
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