Provider Demographics
NPI:1982693859
Name:ASTROM, KRISTIN M (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:M
Last Name:ASTROM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5975 S LOS ALTOS PKWY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-7699
Mailing Address - Country:US
Mailing Address - Phone:775-204-4000
Mailing Address - Fax:775-204-4001
Practice Address - Street 1:5975 S LOS ALTOS PKWY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7699
Practice Address - Country:US
Practice Address - Phone:775-204-4000
Practice Address - Fax:775-204-4001
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
NVDO1852207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No170300000XOther Service ProvidersGenetic Counselor, MS