Individual
MALLORY ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 469-5000
(412) 469-7174
Mailing address
509 CALVERT AVE, PITTSBURGH, PA 15227-3832
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN667943
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
157435
PA
Other
Enumeration date
10/20/2025
Last updated
02/10/2026
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