Individual
KAYLEY ROSE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 250, PITTSBURGH, PA 15224-2156
(412) 578-1152
(412) 605-6669
Mailing address
4815 LIBERTY AVE STE 250, PITTSBURGH, PA 15224-2156
(412) 578-1152
(412) 605-6669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103735628
—
PA
01
—
14614345
CAQH
—
Enumeration date
09/30/2019
Last updated
10/13/2020
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