Individual
KATHLEEN DEPONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35177
VA
2085R0202X
Diagnostic Radiology Physician
MD35510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007200781
—
VA
05
—
64794456
—
KY
Enumeration date
07/10/2007
Last updated
11/18/2016
Update your record
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