Active NPI
Kristen Kingry, D.O.
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1073997961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS019512
- Practice address
- 1251 S Cedar Crest Blvd Ste 102a
Allentown, PA 18103-6205 - Phone
- (610) 402-3940
- Fax
- (610) 402-3960
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS019512 | PA | Primary |
| Family Medicine Physician | 207Q00000X | OT016327 | PA |
Addresses
Primary practice location
1251 S Cedar Crest Blvd Ste 102a
Allentown, PA 18103-6205
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019512 | PA | MD | Family Medicine Physician |
| OT016327 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1073997961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD STE 102A",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-402-3940",
"fax_number": "610-402-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGRY",
"first_name": "KRISTEN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS019512",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT016327",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.