Individual
KELLY D DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 DELAFIELD RD, PITTSBURGH, PA 15215-3205
(412) 784-5770
Mailing address
200 DELAFIELD RD STE 4010, PITTSBURGH, PA 15215-3235
(412) 784-5770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
04/09/2025
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