NPI 1922090257 · live from the CMS NPI Registry
Kenneth J Brislin, MD
Orthopaedic Surgery, Sports Medicine in Allentown, PA. National Provider Identifier 1922090257, active.
NPI record
| NPI | 1922090257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 250 Cetronia Road, Suite 303, Allentown, PA 18104 |
| Practice phone | 610-973-6200 |
| Mailing address | Po Box 848269, Boston, MA 02284 |
| Enumerated | August 23, 2005 |
| Last updated | January 16, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | MD074181L (PA) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | MD074181L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.