Individual
KELSEY LYNN DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
(412) 623-2121
Mailing address
5911 DUBLIN RD, BETHEL PARK, PA 15102-1327
(412) 720-6296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176226
CT
163W00000X
Registered Nurse
Primary
RN672615
PA
367500000X
Certified Registered Nurse Anesthetist
9478
CT
Other
Enumeration date
12/17/2019
Last updated
08/24/2022
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