Provider Demographics
NPI:1972642650
Name:HESTDALEN, KRISTIN ADELE (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ADELE
Last Name:HESTDALEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4126 TECHNOLOGY WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-2009
Mailing Address - Country:US
Mailing Address - Phone:775-687-7573
Mailing Address - Fax:775-687-7544
Practice Address - Street 1:85 KIRMAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1340
Practice Address - Country:US
Practice Address - Phone:286-277-5982
Practice Address - Fax:775-982-5496
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2021-03-22
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Provider Licenses
StateLicense IDTaxonomies
NV102152084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry