Kathleen W Free, ARNP
Individual provider Active NPI Adult Health Nurse Practitioner · Charlestown, IN
NPI 1588049696 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1588049696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 71000870A (IN)
- Practice address
- 2300 Market St
Charlestown, IN 47111-9810 - Phone
- (812) 256-5506
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003341 | KY | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Medical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71000870A | IN | Yes |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 3003341 | KY |
Addresses
Primary practice location
2300 Market St
Charlestown, IN 47111-9810
Mailing address
2300 Market St
Charlestown, IN 47111-9810
Phone (812) 256-5506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01521535 | Other | IN | RAILROAD MEDICARE |
Other providers in Charlestown, IN
- Jennifer Ennis
- Sean Gregory Evans
- Traci Lyn Falbo
- Debra Lynn Fife
- Floyd Memorial Hospital and Health Services
- Devin Freels
- Adam A French
- William H Garner III
- Kasey Garza
- Nancy Gentleman
All providers in Charlestown, IN · Adult Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.