Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS037525 | PA |
Y | 213EG0000X | General Practice | DS037525 | PA |
NPI | 1003078478 |
---|---|
Provider Name | Dr. Jennifer Kriste Dalton |
First Address | Allison Park, PA 15101-1538 |
Second Address | Pittsburgh, PA 15237-5233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 20/07/2020 |