Basic Information
| Provider Information | |||||||||
| NPI: | 1982239356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KALIN | ||||||||
| FirstName: | ALYSSA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 W MAIN ST | ||||||||
| Address2: | STE 101 | ||||||||
| City: | SAXONBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 160562254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243528422 | ||||||||
| FaxNumber: | 7243528426 | ||||||||
| Practice Location | |||||||||
| Address1: | 5830 MERIDIAN RD | ||||||||
| Address2: | |||||||||
| City: | GIBSONIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150449668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244437231 | ||||||||
| FaxNumber: | 7244434467 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2020 | ||||||||
| LastUpdateDate: | 02/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | SP021645 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.