MEDICARE: DR. KRISTIN M ASTROM DO

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	DO1852	NV
2	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1982693859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN M ASTROM DO

Provider Business Mailing Address
First Line	:	4868 SPARKS BLVD STE 102
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-8161
Country	:	US
Telephone Number	:	775-902-8733
Fax Number	:	775-624-7692

Provider Business Practice Location Address
First Line	:	5070 ION DR
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-1612
Country	:	US
Telephone Number	:	775-770-7727
Fax Number	:	775-770-7711

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	05/08/2025

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Directions to “ DR. KRISTIN M ASTROM DO” Practice Location

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