Individual
KRISTIN A TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1611 POND RD, STE 401, ALLENTOWN, PA 18104-2258
(610) 398-7700
(610) 398-6917
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055148
PA
Other
Enumeration date
01/24/2012
Last updated
12/23/2015
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