Kenneth J Brislin, MD
Orthopaedic Surgery, Sports Medicine in Allentown, PA. Individual provider (NPI-1).
NPI number1922090257
StatusActive
Last updated in NPPESJan 16, 2014
Details
- NPI
- 1922090257
- Entity type
- Individual (NPI-1)
- Name
- Kenneth J Brislin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2005
- Last updated
- Jan 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | MD074181L | PA | Yes |
| 207X00000X | Orthopaedic Surgery | MD074181L | PA |
Practice location
250 Cetronia RoadSuite 303
Allentown, PA 18104-9168
Phone 610-973-6200 · Fax 610-973-6546
Mailing address
Po Box 848269Boston, MA 02284-8269
Phone 610-973-1700 · Fax 610-973-1778
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