Individual
DR. KRISANNA LEE DEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
393 E TOWN ST STE 116, COLUMBUS, OH 43215-4799
(614) 566-9108
(614) 566-8737
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 788-5400
(614) 788-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35088823
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
35.088823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2912352
—
OH
Enumeration date
08/07/2007
Last updated
06/06/2025
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