Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | OS016089 | PA |
NPI | 1013234913 |
---|---|
Provider Name | Dr. Ashley Lauren Kittridge |
First Address | Pittsburgh, PA 15243-1477 |
Second Address | Pittsburgh, PA 15243-1477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2010 |
Last Update Date | 01/08/2013 |