MRS. CARLY KELLY PA-C NPI 1508230343

NPI Information

NPI: 1508230343
Provider Name: MRS. CARLY KELLY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
180 FORT COUCH RD
PITTSBURGH, PA
ZIP 15241
Phone: (412) 833-8811
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MRS. Carly Kelly, PA-C is a medical physician assistant in Pittsburgh, PA. MRS. Carly Kelly, PA-C NPI is 1508230343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

180 FORT COUCH RD
PITTSBURGH, PA
ZIP 15241-041
Phone: (412) 833-8811

The NPI 1508230343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA057969	PENNSYLVANIA	Yes
2	363AM0700X	Physician Assistant	Medical	OA003675	PENNSYLVANIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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