Individual
KRISTIN CLINGMAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5479 POTTSVILLE PIKE, LEESPORT, PA 19533-8650
(610) 916-1050
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD437038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102334858
—
PA
Enumeration date
06/08/2006
Last updated
03/28/2012
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