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Individual

DR. CAROLANNE L KONDOS SHOMETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
7611 FOREST AVE STE 200, RICHMOND, VA 23229-4946
(804) 897-2100
(804) 897-9074
Mailing address
1212 KOGER CENTER BLVD, NORTH CHESTERFIELD, VA 23235-4778
(804) 408-4654

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102207783
VA
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407319932
VA
Enumeration date
04/11/2019
Last updated
04/15/2026
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