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NPI Code Detail

MEDICARE: KATHLEEN ANN KELLEY CRNP

MEDICARE:   KATHLEEN ANN KELLEY  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianSP033560PA

General Provider Information

NPI Number : 1659256667
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANN KELLEY CRNP
Provider Business Mailing Address
First Line : 1100 WASHINGTON ST
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-1657
Country : US
Telephone Number : 412-417-3673
Fax Number : 412-417-3673
Provider Business Practice Location Address
First Line : 400 MOSITES WAY STE 401
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-1342
Country : US
Telephone Number : 412-730-2932
Fax Number : 312-767-9304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2025
Last Update Date : 02/24/2026

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Directions to “ KATHLEEN ANN KELLEY CRNP” Practice Location

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