Healthcare Provider Details

I. General information

NPI: 1952806838
Provider Name (Legal Business Name): KRISTEN SALAVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 8TH AVE
BETHLEHEM PA
18018-1883
US

IV. Provider business mailing address

1530 8TH AVE
BETHLEHEM PA
18018-1883
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-0055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD473192
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: