Individual
KIRSTIE ELLEN FUNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3824 NORTHERN PIKE STE 525, MONROEVILLE, PA 15146-2177
(412) 373-6666
(412) 373-4595
Mailing address
3824 NORTHERN PIKE STE 525, MONROEVILLE, PA 15146-2177
(412) 373-6666
(412) 373-4595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103404788
—
PA
01
—
2S7140
MEDICARE
PA
Enumeration date
09/21/2015
Last updated
11/05/2024
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