Individual
KRISTEN SHAW DEITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 200, NOTTINGHAM, MD 21236-5908
(443) 442-2300
(410) 367-2035
Mailing address
4924 CAMPBELL BLVD, SUITE 200, NOTTINGHAM, MD 21236-5908
(443) 442-2300
(410) 367-2035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0081342
MD
Other
Enumeration date
06/21/2011
Last updated
10/17/2016
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