Individual
KATHLEEN W FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2300 MARKET ST, CHARLESTOWN, IN 47111-9810
(812) 256-5506
Mailing address
2300 MARKET ST, CHARLESTOWN, IN 47111-9810
(812) 256-5506
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000870A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
3003341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01521535
RAILROAD MEDICARE
IN
Enumeration date
07/30/2015
Last updated
11/09/2015
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