MEDICARE: DIANN KALE

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	111N00000X	Chiropractor	CHOOOO1133	WA

General Provider Information

NPI Number	:	1760673172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANN KALE

Provider Business Mailing Address
First Line	:	100 VALLEY MALL PKWY STE 5
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 VALLEY MALL PKWY STE 5
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5348
Country	:	US
Telephone Number	:	509-884-2339
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DIANN KALE
Credential	:	DC
Telephone Number	:	509-884-2339

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	08/09/2007

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