MEDICARE: DR. KRISTEN STONE MULHERN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	036108170	IL
2	207V00000X	Obstetrics & Gynecology Physician	MD465399	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA5143	OTHER	IL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	31602433	OTHER	IL	BCBS PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104824457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN STONE MULHERN M.D.

Provider Business Mailing Address
First Line	:	5445 LANARK RD STE 201
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-5270
Fax Number	:

Provider Business Practice Location Address
First Line	:	5445 LANARK RD STE 201
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-5270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	12/08/2025

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Directions to “ DR. KRISTEN STONE MULHERN M.D.” Practice Location

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