Provider Demographics
NPI:1851332233
Name:KAMEG, KIRSTYN MARIE (DNP PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KIRSTYN
Middle Name:MARIE
Last Name:KAMEG
Suffix:
Gender:F
Credentials:DNP PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OLD POND RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1269
Mailing Address - Country:US
Mailing Address - Phone:412-319-7866
Mailing Address - Fax:412-914-8635
Practice Address - Street 1:200 OLD POND RD STE 107
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1269
Practice Address - Country:US
Practice Address - Phone:412-319-7866
Practice Address - Fax:412-914-8635
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006511L363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health