| Doctor Name: | DR. KRISANNA L DEPPEN |
| NPI Number: | 1003007741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 35088823 |
| Business Practice Address: | 2030 Stringtown Rd Grove City, OH - 431233993 |
| Business Phone Number: | 6145660987 |
| Business Fax Number: | 6145660978 |
| Mailing Address: | 5350 Frantz Rd, DUBLIN |
| State: | OH |
| Postal Code: | 430164259 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 12/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 35088823 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |