Individual
KAITLYN JAYNE EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 HALKET ST, PITTSBURGH, PA 15213-3108
(412) 641-1000
Mailing address
200 CLIFFSIDE MNR APT 8, PITTSBURGH, PA 15202-1638
(724) 630-8607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060089
PA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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