Provider Demographics
NPI:1073957635
Name:DALRYMPLE, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6594 FOOTHILLS RD
Mailing Address - Street 2:
Mailing Address - City:100 MILE HOUSE
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V0K 2E3
Mailing Address - Country:CA
Mailing Address - Phone:503-431-9540
Mailing Address - Fax:
Practice Address - Street 1:6594 FOOTHILLS RD
Practice Address - Street 2:
Practice Address - City:100 MILE HOUSE
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V0K 2E3
Practice Address - Country:CA
Practice Address - Phone:503-431-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program