Individual
KELLY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 S AIKEN AVE STE 201, PITTSBURGH, PA 15232-1531
(412) 623-3540
Mailing address
580 S AIKEN AVE STE 201, PITTSBURGH, PA 15232-1531
(412) 623-3540
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA054064
PA
Other
Enumeration date
11/09/2009
Last updated
08/08/2023
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