| Doctor Name: | DR. KRISTEN DESTIGTER |
| NPI Number: | 1265459044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 042-0010186 |
| Business Practice Address: | 111 Colchester Ave Dept. Of Radiology Burlington, VT - 054011473 |
| Business Phone Number: | 8028473592 |
| Business Fax Number: | 8028474822 |
| Mailing Address: | 111 Colchester Ave, Patrick 117 BURLINGTON |
| State: | VT |
| Postal Code: | 054011473 |
| Phone Number: | 8028473592 |
| Fax Number: | 8028474822 |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 10/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 042-0010186 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |