Provider Demographics
NPI:1104824457
Name:STONE MULHERN, KRISTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:STONE MULHERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1652
Mailing Address - Country:US
Mailing Address - Phone:484-526-7060
Mailing Address - Fax:484-526-7061
Practice Address - Street 1:306 S NEW ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:484-526-7060
Practice Address - Fax:484-526-7061
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108170207V00000X
PAMD465399207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCA5143OtherMEDICARE RAILROAD
IL31602433OtherBCBS PROVIDER NUMBER
IL036108170Medicaid
IL036108170Medicaid