Provider Demographics
NPI:1285695551
Name:DINNING, KATHLEEN G (L AC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:G
Last Name:DINNING
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411-0570
Mailing Address - Country:US
Mailing Address - Phone:304-258-0013
Mailing Address - Fax:304-258-0013
Practice Address - Street 1:214 W PATRICK ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5516
Practice Address - Country:US
Practice Address - Phone:301-788-3632
Practice Address - Fax:304-258-0013
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDU00667171100000X
WV96180171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist