Individual
KELLY C MCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224-2156
(412) 578-5901
(412) 578-5902
Mailing address
4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224-2156
(412) 578-5901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051454
PA
363A00000X
Physician Assistant
OA002948
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103229409
—
PA
01
—
12133938
CAQH
—
Enumeration date
12/18/2006
Last updated
09/30/2020
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