Doctor Name: | DR. KATHRYN E VAN DAM |
NPI Number: | 1528135779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | X008476 |
Business Practice Address: | 31 Wallkill Ave. Wallkill, NY - 125890114 |
Business Phone Number: | 8458951131 |
Business Fax Number: | 8458953243 |
Mailing Address: | Po Box 114, 31 Wallkill Ave WALLKILL |
State: | NY |
Postal Code: | 125890114 |
Phone Number: | 8458951131 |
Fax Number: | 8458953243 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X008476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |