Individual
KRISTIN D DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1830 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 665-8414
(540) 667-2476
Mailing address
1830 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 665-8414
(540) 667-2476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101235422
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042224
—
VA
Enumeration date
08/16/2006
Last updated
09/23/2021
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