Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 447021 | PA |
NPI | 1114950839 |
---|---|
Provider Name | Karen Scandrett |
First Address | Pittsburgh, PA 15213-3215 |
Second Address | Pittsburgh, PA 15213-3215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
694535 | (02) |