Katie Kristine Bates, CRNA
Nurse Anesthetist, Certified Registered in Rapid City, SD. Individual provider (NPI-1).
NPI number1104144773
StatusActive
Last updated in NPPESJan 3, 2013
Details
- NPI
- 1104144773
- Entity type
- Individual (NPI-1)
- Name
- Katie Kristine Bates
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2010
- Last updated
- Jan 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000741 | SD | Yes |
Practice location
353 Fairmont BlvdRapid City, SD 57701-7375
Phone 605-719-1000 · Fax 605-719-7884
Mailing address
353 Fairmont BlvdAtten Medical Staff Services
Rapid City, SD 57701-6000
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