Healthcare Provider Details

I. General information

NPI: 1104208198
Provider Name (Legal Business Name): MELISSA KEUL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA SCHULTZ PA-C

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE STE 215
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE STE 215
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-235-5900
  • Fax: 412-235-5901
Mailing address:
  • Phone: 412-235-5900
  • Fax: 412-235-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA057712
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: