Kathleen Van De Walle Do Pc

NPI 1295886307 - Internal Medicine - 207R00000X

NPI Details
NPI 1295886307
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHLEEN KATHLEEN
Position PRESIDENT
Phone (605) 229-3682
Fax
Practice Location
1314 N MAIN ST
ABERDEEN SD, 57401-2032, US
Phone (605) 229-3682
Fax
Business Location
1314 N MAIN ST
ABERDEEN SD, 57401-2032, US
Phone (605) 229-3682
Fax
Toxanomy
Taxonomy Code 207R00000X
License State South Dakota
License Number 0248
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According to our database, Kathleen Van De Walle Do Pc NPI is 1295886307, taxonomy code is 207R00000X and license number is 0248, license state is located at South Dakota. Kathleen Van De Walle Do Pc physically located at 1314 N Main St, Aberdeen SD, 57401-2032. NPI Number 1033115704 has the healthcare provider type.

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1295886307 NPI number is provided on an as is basis without warranty of any kind. 1295886307 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Van De Walle Do Pc are for informational purposes only.