NPI 1619482163
Katie E Dallas
Practice location
- Address
- 1906 Fairview Ave, Caldwell, ID 83605-5407
- Phone
- (208) 402-0658
- Mailing address
- 1906 Fairview 220 a, Caldwell, ID 83605
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1619482163
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2017
- Record last updated
- 6 Dec 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.