Individual
MRS. CARLY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
180 FORT COUCH RD, PITTSBURGH, PA 15241-1041
(412) 833-8811
Mailing address
180 FORT COUCH RD STE 375, PITTSBURGH, PA 15241-1080
(412) 833-8811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057969
PA
363AM0700X
Medical Physician Assistant
OA003675
PA
Other
Enumeration date
11/17/2015
Last updated
06/14/2021
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