Individual
KEVIN SPEECHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9100 BABCOCK BLVD, PITTSBURGH, PA 15237-5815
(412) 367-6454
Mailing address
142 LABELLE ST, PITTSBURGH, PA 15211-1368
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057392
PA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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