Provider Demographics
NPI:1548595010
Name:MALAGISE, KARA MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MICHELLE
Last Name:MALAGISE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:277 DRAVO AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2639
Mailing Address - Country:US
Mailing Address - Phone:304-723-4000
Mailing Address - Fax:
Practice Address - Street 1:969 GREENTREE RD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3328
Practice Address - Country:US
Practice Address - Phone:412-922-5250
Practice Address - Fax:412-920-8162
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2020-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054124363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical