Individual
KEVIN PATRICK BORDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 BOWER HILL RD, PITTSBURGH, PA 15243-1342
(412) 572-6194
(412) 572-6195
Mailing address
1000 BOWER HILL ROAD, ATTN PAMALYN AFFILIATE BILLING, PITTSBURGH, PA 15243-1873
(412) 942-2548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD425640
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1545957
GATEWAY
PA
01
—
P00230561
PALMETTO
PA
Enumeration date
07/19/2005
Last updated
03/09/2021
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