Individual
KELLI SAROCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
115 CENTER AVE, PITTSBURGH, PA 15215
(412) 364-8480
(412) 364-8490
Mailing address
115 CENTER AVENUE, PITTSBURGH, PA 15215
(412) 364-8480
(412) 364-8490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054441
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054441
LICESNSE MA054441
PA
Enumeration date
09/21/2010
Last updated
03/29/2011
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