Provider Demographics
NPI:1821353830
Name:D'ABRUZZO, KATHRYN E (PA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:D'ABRUZZO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HOSPITAL WAY STE 8
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2004
Mailing Address - Country:US
Mailing Address - Phone:412-664-3392
Mailing Address - Fax:412-664-3393
Practice Address - Street 1:500 HOSPITAL WAY STE 8
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2004
Practice Address - Country:US
Practice Address - Phone:412-664-3392
Practice Address - Fax:412-664-3393
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA055512363A00000X
PAOA002870363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant