Individual
DR. KRISTEN DESTIGTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT. OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
111 COLCHESTER AVE, PATRICK 117, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
042-0010186
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2536
—
VT
Enumeration date
07/16/2006
Last updated
10/07/2013
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