MEDICARE: DR. KAREN ANN KELLY 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	2084P0800X	Psychiatry Physician	MD 026742E	PA

General Provider Information

NPI Number	:	1699876045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ANN KELLY MD

Provider Business Mailing Address
First Line	:	1006 MILTON STREET
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7189 HIGHLAND DRIVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206
Country	:	US
Telephone Number	:	412-365-4719
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	11/27/2017

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