Provider Demographics
NPI:1134197098
Name:STEMPEL, KEVIN B (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:B
Last Name:STEMPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W CHEW STREET
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3406
Mailing Address - Country:US
Mailing Address - Phone:610-663-3441
Mailing Address - Fax:610-663-3170
Practice Address - Street 1:421 W CHEW ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3406
Practice Address - Country:US
Practice Address - Phone:610-663-3441
Practice Address - Fax:610-663-3170
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035414E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1525050OtherGATEWAY
PA50094076OtherCBC
PA1050660Medicaid
PA113722OtherUNISON
PA20008994OtherAMERIHEALTH MERCY HEALTH PLAN
B41157Medicare UPIN
PA1525050OtherGATEWAY