Provider Demographics
NPI:1538644422
Name:STORINO, KATHLEEN (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:STORINO
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Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5115 CENTRE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1301
Mailing Address - Country:US
Mailing Address - Phone:412-864-6600
Mailing Address - Fax:412-864-6667
Practice Address - Street 1:5115 CENTRE AVE FL 4
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1301
Practice Address - Country:US
Practice Address - Phone:412-864-6600
Practice Address - Fax:412-864-6667
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2019-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA060156363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant