Healthcare Provider Details

I. General information

NPI: 1720442593
Provider Name (Legal Business Name): KELLY LAMBERT RN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 PERRY HWY
PITTSBURGH PA
15237-2114
US

IV. Provider business mailing address

1105 PERRY HWY
PITTSBURGH PA
15237-2114
US

V. Phone/Fax

Practice location:
  • Phone: 412-377-2363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN640366
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN640366
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN640366
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: