Provider Demographics
NPI:1659359925
Name:SPANGNER, KERSTIN ANNETTE (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KERSTIN
Middle Name:ANNETTE
Last Name:SPANGNER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 ARIZONA WAY
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3239
Mailing Address - Country:US
Mailing Address - Phone:415-600-2628
Mailing Address - Fax:415-600-2306
Practice Address - Street 1:3700 CALIFORNIA ST
Practice Address - Street 2:ROOM G330
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1618
Practice Address - Country:US
Practice Address - Phone:415-600-2628
Practice Address - Fax:415-600-2306
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS