Individual
KELLY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
(412) 858-3070
Mailing address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055878
PA
Other
Enumeration date
11/16/2012
Last updated
05/21/2021
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