NPI 1104796234

Shaye Dostal, PA

Practitioner Pain Medicine (Anesthesiology) Physician Kenosha, WI

Practice location

Address: 4824 Green Bay Rd, Kenosha, WI 53144-1789
Phone: (262) 299-6199

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 870923 (WI)

Other Anesthesiology providers in Wisconsin →

Registry record

NPI: 1104796234
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2025
Record last updated: 5 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.