Individual
DR. KELLY L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11616 FRANKSTOWN RD, PITTSBURGH, PA 15235-3319
(412) 704-5053
Mailing address
116 RIDGE VIEW RD, NEW KENSINGTON, PA 15068-8345
(412) 378-0057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12137700
FEDERAL EMPLOYEES WC
PA
01
—
1601629
BCBS INDIVIDUA
PA
01
—
1618705
BCBS GROUP
PA
01
—
201066981
COMMERCIAL PAYORS
PA
01
—
3645987
AETNA
PA
Enumeration date
09/05/2005
Last updated
01/23/2024
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