MEDICARE: MRS. KRISTIE ANN SPELLINGS D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO4074	NV

General Provider Information

NPI Number	:	1578942611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIE ANN SPELLINGS D.O

Provider Business Mailing Address
First Line	:	1155 MILL ST
Second Line	:	MC M14
City	:	RENO
State	:	NV
Zip	:	89502-1576
Country	:	US
Telephone Number	:	775-982-5000
Fax Number	:	775-982-5225

Provider Business Practice Location Address
First Line	:	2300 S CARSON ST STE 1
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4528
Country	:	US
Telephone Number	:	775-982-5000
Fax Number	:	775-982-3900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	05/12/2026

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