Individual
KAYLYN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
490 E NORTH AVE STE 515, PITTSBURGH, PA 15212-4780
(412) 681-2300
(412) 681-6959
Mailing address
305 ASHBURY CT, CRANBERRY TWP, PA 16066-2851
(724) 480-7065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063221
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15513454
CAQH
—
Enumeration date
12/04/2021
Last updated
03/14/2022
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