Provider Demographics
NPI:1528600533
Name:KELVINGTON, MAKAYLEE MARIE
Entity Type:Individual
Prefix:
First Name:MAKAYLEE
Middle Name:MARIE
Last Name:KELVINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 W CHESTNUT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4661
Mailing Address - Country:US
Mailing Address - Phone:724-225-6940
Mailing Address - Fax:724-225-6811
Practice Address - Street 1:5168 CAMPBELLS RUN RD STE 204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9778
Practice Address - Country:US
Practice Address - Phone:412-439-1416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health