Individual
KRISTIN A GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25 S 9TH ST FL 1, PHILADELPHIA, PA 19107
(215) 955-1200
(215) 923-6808
Mailing address
25 S 9TH ST FL 1, PHILADELPHIA, PA 19107-4408
(215) 955-1200
(215) 923-6808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD225827
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS014841
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102334750
—
PA
Enumeration date
02/02/2006
Last updated
12/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us