MEDICARE: DR. KATHY J SELVAGGI MD

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
1	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	MD036967E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265434781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHY J SELVAGGI MD

Provider Business Mailing Address
First Line	:	PO BOX 1549
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16003-1549
Country	:	US
Telephone Number	:	724-284-4060
Fax Number	:	724-284-4144

Provider Business Practice Location Address
First Line	:	129 ONEIDA VALLEY RD
Second Line	:	SUITE 310
City	:	BUTLER
State	:	PA
Zip	:	16001-2252
Country	:	US
Telephone Number	:	724-968-5330
Fax Number	:	724-431-2951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/14/2016

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