Provider Demographics
NPI:1023119328
Name:KALE, DIANN (DC, FICCI)
Entity type:Individual
Prefix:DR
First Name:DIANN
Middle Name:
Last Name:KALE
Suffix:
Gender:F
Credentials:DC, FICCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 VALLEY MALL PKWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5348
Mailing Address - Country:US
Mailing Address - Phone:509-884-2339
Mailing Address - Fax:509-884-4720
Practice Address - Street 1:100 VALLEY MALL PARKWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5348
Practice Address - Country:US
Practice Address - Phone:509-884-2339
Practice Address - Fax:509-884-4720
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001133111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA74999OtherL & I
WA0911462790-00OtherMEDICADE
WAG000315137OtherMEDICARE
WA74999OtherL & I