Individual
KATHLEEN DEPONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
935 VIRGINIA AVE NW, NORTON, VA 24273-1818
(276) 679-2729
(276) 679-0578
Mailing address
1301 SUNSET DR, STE 3, JOHNSON CITY, TN 37604-7906
(423) 979-5610
(423) 926-1823
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
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