Individual
DR. COSETTE NIEPORENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10810 CONNECTICUT AVE, KAISER PERMANENTE KENSINGTON MEDICAL CENTER, KENSINGTON, MD 20895-2138
(301) 929-7132
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, MEDICARE ENROLLMENT: THERESA JACKSON, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101043071
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D0021331
MD
2085R0202X
Diagnostic Radiology Physician
MD15462
DC
Other
Enumeration date
12/28/2006
Last updated
12/06/2012
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