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NPI Code Detail

MEDICARE: MAKAYLEE MARIE KELVINGTON

MEDICARE: MAKAYLEE MARIE KELVINGTON
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528600533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLEE MARIE KELVINGTON
Provider Business Mailing Address
First Line : 378 W CHESTNUT ST STE 205
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-4661
Country : US
Telephone Number : 724-225-6940
Fax Number : 724-225-6811
Provider Business Practice Location Address
First Line : 5168 CAMPBELLS RUN RD STE 204
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-9778
Country : US
Telephone Number : 412-439-1416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 06/01/2022

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Directions to “ MAKAYLEE MARIE KELVINGTON ” Practice Location

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