Individual
KRYSTAL VANLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 577-1622
(702) 912-4994
Mailing address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0000351
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
15864
NV
207V00000X
Obstetrics & Gynecology Physician
4301074586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508825290
—
NV
05
—
4991844
—
MI
01
—
700E012300
BCBSM GROUP NUMBER
MI
01
—
700H201530
BCBSM GROUP NUMBER
MI
Enumeration date
03/21/2006
Last updated
07/09/2022
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