Individual
DR. KORY A FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7633 GANSER WAY, STE. 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Mailing address
7633 GANSER WAY, STE. 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9760
ND
2084P0804X
Child & Adolescent Psychiatry Physician
42310-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00201213
RR MEDICARE
ND
Enumeration date
01/23/2007
Last updated
01/08/2014
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