Provider Demographics
NPI:1073849022
Name:KIEBER-EMMONS, AUTUMN MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:MICHELLE
Last Name:KIEBER-EMMONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:707 HAMILTON ST
Mailing Address - Street 2:ONE CITY CENTER
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-2407
Mailing Address - Country:US
Mailing Address - Phone:610-841-8400
Mailing Address - Fax:610-841-8457
Practice Address - Street 1:218 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3508
Practice Address - Country:US
Practice Address - Phone:610-841-8400
Practice Address - Fax:610-841-8457
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD445640207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine