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Contact Information

KENNETH J BRISLIN, MD
250 CETRONIA ROAD
SUITE 303
ALLENTOWN, PA18104-9168
 Phone: 610-973-6200
 Fax: 610-973-6546
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH J BRISLIN · (Male)

NPI Number 1922090257
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2005
Last updated 01/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD074181L
  • PA Medicaid 1011059120001
  • PA Other 7716478 AETNA
  • PA Other 1637940 AMERIHEALTH ADMIN
  • PA Other 50041754 BLUE CROSS
  • PA Other 1637940 BLUE SHIELD
  • PA Other 821238 FIRST PRIORITY HEALTH
  • PA Other 89078 GEISINGER
  • PA Other 2000705 KEYSTONE CENTRAL
  • PA Other 2312743000 KEYSTONE EAST
  • PA Other P3462562 OXFORD
  • PA Other P00146237 RAILROAD MEDICARE
Hospital affiliation(s)
  • LEHIGH VALLEY HOSPITAL - (Acute Care)
    1200 SOUTH CEDAR CREST BOULVARD
    ALLENTOWN, PA 18105
  • ST LUKE'S HOSPITAL BETHLEHEM - (Acute Care)
    801 OSTRUM STREET
    BETHLEHEM, PA 18015
  • ST LUKE'S MINERS MEMORIAL HOSPITAL - (Acute Care)
    360 W RUDDLE STREET
    COALDALE, PA 18218
  • SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH - (Acute Care)
    1503 CEDAR CREST BOULEVARD
    ALLENTOWN, PA 18104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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