Mallon, Kelly
Mallon, Kelly is an individual health care provider with primary practice located at 905 E Pittsburgh St Suite E, Greensburg PA 15601-3503. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology is her primary health care specialty. Mallon, Kelly can be contacted via phone (724) 836-3116.Contact Information
Primary practice address
905 E Pittsburgh St Suite E
Greensburg PA 15601-3503
Phone: (724) 836-3116
Fax: (724) 836-3878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | PT008642L | Pennsylvania |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008642L | Pennsylvania |
Profile Details
NPI number | 1346288172 |
---|---|
LBN Legal business name | Mallon, Kelly |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346288172 | NPPES |
Pennsylvania | MEDICAID | 01622275 |
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