Individual
MRS. ELIZABETH MAE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054460
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424236
—
PA
Enumeration date
08/17/2010
Last updated
07/14/2022
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