Provider Demographics
NPI:1134440225
Name:DIPALMA, KATHRYN TERESA
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:TERESA
Last Name:DIPALMA
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 1:6775 N BACKER AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-4701
Mailing Address - Country:US
Mailing Address - Phone:559-287-3231
Mailing Address - Fax:559-298-1372
Practice Address - Street 1:6775 N BACKER AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-4701
Practice Address - Country:US
Practice Address - Phone:559-287-3231
Practice Address - Fax:559-298-1372
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula