Individual
KRISTINE SOLTANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 779-5244
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
296598
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2012
Last updated
08/21/2025
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