MEDICARE: KATE DALRYMPLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		OR

General Provider Information

NPI Number	:	1073957635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE DALRYMPLE

Provider Business Mailing Address
First Line	:	6594 FOOTHILLS RD
Second Line	:
City	:	100 MILE HOUSE
State	:	BRITISH COLUMBIA
Zip	:	V0K 2E3
Country	:	CA
Telephone Number	:	503-431-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	6594 FOOTHILLS RD
Second Line	:
City	:	100 MILE HOUSE
State	:	BRITISH COLUMBIA
Zip	:	V0K 2E3
Country	:	CA
Telephone Number	:	503-431-9540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	04/24/2013

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Directions to “ KATE DALRYMPLE ” Practice Location

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