Provider Demographics
NPI:1063875581
Name:EHRENBERGER, KRISTEN ANN (MD, PHD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANN
Last Name:EHRENBERGER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2397 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2445
Mailing Address - Country:US
Mailing Address - Phone:412-692-4888
Mailing Address - Fax:412-357-3450
Practice Address - Street 1:2397 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2445
Practice Address - Country:US
Practice Address - Phone:412-692-4888
Practice Address - Fax:412-357-3450
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD470746208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics