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Individual

KRISTEN A NORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
(775) 348-2889
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
(775) 348-2889

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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