Provider Demographics
NPI:1073263430
Name:HIRLEMAN, KELLY A (RN)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:A
Last Name:HIRLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3100
Mailing Address - Country:US
Mailing Address - Phone:412-928-5940
Mailing Address - Fax:412-928-5947
Practice Address - Street 1:1016 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3100
Practice Address - Country:US
Practice Address - Phone:412-928-5940
Practice Address - Fax:412-928-5947
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN322991L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse