Individual
KELLIE A GUSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
200 LOTHROP ST, HVI SOUTH TOWER 3F, PITTSBURGH, PA 15213-2536
(412) 647-6000
(412) 647-2985
Mailing address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 359-8820
(412) 359-8822
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056903
PA
Other
Enumeration date
07/09/2014
Last updated
02/17/2022
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