Most Relevant Information
Provider Data
| NPI Number: | 1003286428 |
| Provider Name: | KELLY ANN MARTIN MSPA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA061613 |
Most Important Dates
| Enumeration Date: | 09/28/2015 |
| Last Updated: | 03/22/2023 |
Provider Practice Location
200 LOTHROP STREET
FLOOR 9D
PITTSBURGH
PA
15213
Practice Location Phone/Fax
| Phone: | 4126486531 |
| Fax: | 4126479207 |
Provider Mailing Location
200 LOTHROP STREET
5TH FLOOR, B WING
PITTSBURGH
PA
15213
Provider Mailing Phone/Fax
| Phone: | 4126486531 |
| Fax: | 4126479207 |