Provider Demographics
NPI:1861622037
Name:KANTERMAN, DALE ROBYN (BCND, CHS, CT)
Entity type:Individual
Prefix:MRS
First Name:DALE
Middle Name:ROBYN
Last Name:KANTERMAN
Suffix:
Gender:F
Credentials:BCND, CHS, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 LAND CASTLE LN
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9650
Mailing Address - Country:US
Mailing Address - Phone:919-619-7064
Mailing Address - Fax:
Practice Address - Street 1:2309 W CONE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4044
Practice Address - Country:US
Practice Address - Phone:336-763-2459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No174400000XOther Service ProvidersSpecialist