Kenneth J Brislin in Allentown - Sports Medicine

Kenneth J Brislin - NPI 1922090257

Kenneth J Brislin is a Sports Medicine in Allentown, Pennsylvania. Kenneth J Brislin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth J Brislin is 1922090257. The last update date is 2014-01-16.

Kenneth J Brislin's current location address is 250 Cetronia Road, Allentown, Pennsylvania. You can contact this provider via phone number 6109736200 and fax number 6109736546. The mailing address for Kenneth J Brislin is 250 Cetronia Road, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth J Brislin
Address 250 Cetronia Road, Allentown, Pennsylvania
Phone Number 6109736200
Fax Number 6109736546
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922090257
Provider Enumeration Date 2005-08-23
Last Updated Date 2014-01-16

Provider Mailing Address Detail

Address 250 Cetronia Road
City Allentown
State Pennsylvania (PA)
Post Code 181049168
Phone Number 6109736200
Fax Number 6109736546

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No MD074181L
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1637940 PA BLUE SHIELD
1011059120001 PA --
P3462562 PA OXFORD
7716478 PA AETNA
2312743000 PA KEYSTONE EAST
89078 PA GEISINGER
2000705 PA KEYSTONE CENTRAL
821238 PA FIRST PRIORITY HEALTH
1637940 PA AMERIHEALTH ADMIN
50041754 PA BLUE CROSS

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FAQs about Kenneth J Brislin

What is the unique 10-digit identification code assigned to Kenneth J Brislin by the Centers for Medicare & Medicaid Services?

The Kenneth J Brislin has been issued the NPI (National Provider Identifier) 1922090257, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kenneth J Brislin is physically located?

The Kenneth J Brislin is physically situated at the following address: 250 Cetronia Road, Allentown, PA, 181049168.

What is Kenneth J Brislin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth J Brislin is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.

When did the Kenneth J Brislin receive its 1922090257?

The Kenneth J Brislin was issued its 1922090257 on 2005-08-23, which is the date when the organization was assigned this unique identifier.

When was the information related to Kenneth J Brislin most recently updated or refreshed?

The details pertaining to the Kenneth J Brislin, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-16.

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