Individual
G. KENNETH DEHART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1298 SAVAGE POINT RD., BOX 126, NORTH HERO, VT 05474-0126
(802) 372-6739
Mailing address
1298 SAVAGE POINT ROAD, BOX 126, NORTH HERO, VT 05474-0126
(802) 372-6739
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
042-0003147
VT
2085R0202X
Diagnostic Radiology Physician
042-0003147
VT
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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