Healthcare Provider Details

I. General information

NPI: 1093560989
Provider Name (Legal Business Name): KAITLYN ELIZABETH URBANOWICZ EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 TEMONA DR
PITTSBURGH PA
15236-4222
US

IV. Provider business mailing address

208 TEMONA DR
PITTSBURGH PA
15236-4222
US

V. Phone/Fax

Practice location:
  • Phone: 412-977-3373
  • Fax:
Mailing address:
  • Phone: 412-977-3373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: