KELLY MUTSAVAGE, PA-C
Dermatology
Active
Individual
NPI: 1487601886
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | MA052475 (PA) |
| Physician Assistant | 363A00000X | No | OA002277 (PA) |
| Hospitalist | 208M00000X | No | MA052475 (PA) |
Frequently Asked Questions
NPI 1487601886 is the National Provider Identifier for KELLY MUTSAVAGE, PA-C, a Dermatology provider located in Meadville, PA. This NPI was enumerated on May 30, 2006.
KELLY MUTSAVAGE, PA-C practices at 640 ALDEN ST, Meadville, PA 16335.
Quick Facts
- NPI
- 1487601886
- Type
- Individual
- Enumerated
- May 30, 2006
- Last Updated
- Jun 12, 2024
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