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NPI Code Detail

MEDICARE: KELLIE JACLYN METZLER PA

MEDICARE: KELLIE JACLYN METZLER PA
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
1363AS0400XSurgical Physician AssistantMA050811PA

General Provider Information

NPI Number : 1821054677
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE JACLYN METZLER PA
Provider Business Mailing Address
First Line : 1000 BOWER HILL ROAD
Second Line : ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-942-2548
Fax Number :
Provider Business Practice Location Address
First Line : 1145 BOWER HILL RD STE 105
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1346
Country : US
Telephone Number : 412-579-6194
Fax Number : 412-572-6195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 03/18/2021

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Directions to “ KELLIE JACLYN METZLER PA” Practice Location

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