Doctor Name: | KATHERINE MCGILLIVRAY |
NPI Number: | 1144613944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | OA003521 |
Business Practice Address: | 575 Coal Valley Rd Mob, Suite 570 Jefferson Hills, PA - 150253730 |
Business Phone Number: | 4124697660 |
Business Fax Number: | |
Mailing Address: | 575 Coal Valley Rd, Mob, Suite 570 JEFFERSON HILLS |
State: | PA |
Postal Code: | 150253730 |
Phone Number: | 4124697660 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA003521 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |