Provider Demographics
NPI:1285727768
Name:ALGOE, KRISTIN KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:KATHLEEN
Last Name:ALGOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 N 3RD AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1505
Mailing Address - Country:US
Mailing Address - Phone:208-263-2173
Mailing Address - Fax:208-263-7441
Practice Address - Street 1:423 N 3RD AVE
Practice Address - Street 2:STE 210
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1505
Practice Address - Country:US
Practice Address - Phone:208-263-2173
Practice Address - Fax:208-263-7441
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHRT-1480207V00000X
IDTL-3843207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology