Provider Demographics
NPI:1841328309
Name:HALM, KRISTEN L
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:L
Last Name:HALM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:L
Other - Last Name:HALM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1255 S CEDAR CREST BLVD STE 3900
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6250
Mailing Address - Country:US
Mailing Address - Phone:484-788-0852
Mailing Address - Fax:610-435-5003
Practice Address - Street 1:1255 S CEDAR CREST BLVD STE 3900
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6250
Practice Address - Country:US
Practice Address - Phone:484-788-0852
Practice Address - Fax:610-435-5033
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446315208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery