Individual
DR. KELLY PATRICE MCMAHON
Active
Individual
DR. KELLY PATRICE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD071914L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018192430003
—
PA
01
—
200076838
UPMC
PA
01
—
205884
HEALTH AMERICA
PA
05
—
2528376
—
OH
01
—
912672
HIGHMARK BCBS
PA
Enumeration date
07/07/2005
Last updated
11/29/2011
Update your record
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