Dale Kantrice Rader
Sports Medicine Orthopaedic Surgeon
1414 Fern Creek Dr
Statesville
, North Carolina 28625-9376
Dale Kantrice Rader
Sports Medicine Orthopaedic Surgeon
1414 Fern Creek Dr
Statesville
, North Carolina 28625-9376
(704) 873-6058
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dale Kantrice Rader
- 1414 Fern Creek Dr
- Statesville, NC
- Zip : 28625-9376
- Fax : (704) 873-6058
- Phone : (704) 873-6065
Second Address
- Dale Kantrice Rader
- 1414 Fern Creek Dr
- Statesville, NC
- Zip : 28625-9376
- Fax : (704) 873-6058
- Phone : (704) 873-6065
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 200700675 | NC |
National Provider Identifier
| NPI | 1043202542 |
|---|---|
| Provider Name | Dale Kantrice Rader |
| First Address | Statesville, NC 28625-9376 |
| Second Address | Statesville, NC 28625-9376 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 10/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I14947 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.