Individual
KRISTEN RIST TAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-3487
(215) 349-5534
Mailing address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00474700
NJ
363A00000X
Physician Assistant
Primary
MX046264
PA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
04/27/2026
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