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Individual

KEVIN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1820 WIGHTMAN ST # 1, PITTSBURGH, PA 15217-1536
(412) 421-5438
(412) 521-1801
Mailing address
1820 WIGHTMAN ST # 1, PITTSBURGH, PA 15217-1536
(412) 421-5438
(412) 521-1801

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
PA048893
PA
171WH0202X
Home Modifications Contractor

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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