Individual
KRISTEN N WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
34.012397
OH
207VG0400X
Gynecology Physician
58004610
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2012
Last updated
06/22/2021
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