Individual
KARLY KRISOVENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 741-6600
Mailing address
143 OLD RIDGE RD, CORAOPOLIS, PA 15108-9101
(724) 719-1878
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MA063006
PA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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