Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crestone Inpatient Services LLC

Organization Internal Medicine Physician · NPI 1558770750

Crestone Inpatient Services LLC is an Internal Medicine Physician in Lake City, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone: (386) 719-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1558770750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Kondas — Officer · (973) 251-1132
NPI enumeratedAugust 13, 2014
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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