Individual
KRISTIN C SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2829 GREAT NORTHERN LOOP STE 300, MISSOULA, MT 59808-1752
(406) 541-7000
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(507) 529-6616
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
49276
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352638000
—
MN
01
—
P00918779
RAILROAD MEDICARE
MN
Enumeration date
09/22/2006
Last updated
04/02/2021
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