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KATIE KRISTINE BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1000
(605) 719-7884
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000741
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CR000741
LICENSE
SD
Enumeration date
05/06/2010
Last updated
01/03/2013
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