Individual
KEVIN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Mailing address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD057072L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001549291
—
PA
05
—
0216325000
—
WV
05
—
2241256
—
OH
Enumeration date
08/02/2005
Last updated
09/30/2020
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