Healthcare Provider Details

I. General information

NPI: 1447122908
Provider Name (Legal Business Name): ALEXIS KEJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

4412 ROSANNA DR
ALLISON PARK PA
15101-1341
US

V. Phone/Fax

Practice location:
  • Phone: 412-316-7229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP030925
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: