Individual
KIMBERLY RUTH MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 LYTTON AVE STE 250, PITTSBURGH, PA 15213-1481
(412) 647-9494
(412) 647-9554
Mailing address
120 LYTTON AVE STE 250, PITTSBURGH, PA 15213-1481
(412) 647-9494
(412) 647-9554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA 002278 L
PA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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