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Individual
KRISTEN A NORK
Active
Individual
KRISTEN A NORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12600
NV
207Q00000X
Family Medicine Physician
35.131675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11133021
CAQH
—
05
—
1730169533
—
NV
Enumeration date
01/18/2006
Last updated
01/18/2019
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