Individual
TRACEE KALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2275 SWALLOW HILL RD, BUILDING 2600, PITTSBURGH, PA 15220-1656
(412) 279-3865
(412) 279-3828
Mailing address
2275 SWALLOW HILL RD, BUILDING 2600, PITTSBURGH, PA 15220-1656
(412) 279-3865
(412) 279-3828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT012764L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1404701
BS PROVIDER NUMBER
PA
Enumeration date
11/29/2006
Last updated
07/08/2007
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