Individual
KIMBERLY ANNE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 569-4143
Mailing address
45 NE LOOP 410, STE 850, SAN ANTONIO, TX 78216-5824
(210) 569-4143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
761465
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123151
TX
Other
Enumeration date
07/25/2012
Last updated
03/19/2019
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