Individual
MS. MARY LOU KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 MEADE ST, PITTSBURGH, PA 15221-2131
(412) 436-1298
Mailing address
1600 MELROSE AVE, NATRONA HEIGHTS, PA 15065-1655
(724) 889-6769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN278083
PA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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