Individual
KATHRYN E LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 FEDERAL ST, SUITE 300, PITTSBURGH, PA 15212-4769
(412) 281-1757
(412) 281-7274
Mailing address
1307 FEDERAL ST, SUITE 300, PITTSBURGH, PA 15212-4769
(412) 281-1757
(412) 281-7274
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13839737
CAQH
—
05
—
325586NHM
—
PA
Enumeration date
09/19/2011
Last updated
09/11/2021
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