Provider Demographics
NPI:1265435689
Name:SPAHN, KREIG A (DO)
Entity type:Individual
Prefix:DR
First Name:KREIG
Middle Name:A
Last Name:SPAHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:301 LINVILLE ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-7206
Mailing Address - Country:US
Mailing Address - Phone:828-584-2481
Mailing Address - Fax:828-584-8371
Practice Address - Street 1:301 LINVILLE ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-7206
Practice Address - Country:US
Practice Address - Phone:828-584-2481
Practice Address - Fax:828-584-8371
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-02151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4235190002OtherNATIONAL SUPPLIERS CLEARINGHOUSE
PA86049OtherUNISON HEALTH PLAN
PA20020 FCNOtherEPSDT
PA205043OtherUPMC HEALTH PLAN
NC1265435689Medicaid
PA902542OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA0013982400001Medicaid
PA251754199019OtherMEDICAL MUTUAL OF OHIO
PAF49170OtherHEALTH AMERICA
NC19GGVOtherBCBSNC
PA0013982400001Medicaid
PA251754199019OtherMEDICAL MUTUAL OF OHIO
PA902542OtherHIGHMARK BLUE CROSS BLUE SHIELD