Provider Demographics
NPI:1134447444
Name:ROSE-FELKER, KIRSTEN M (MD)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:M
Last Name:ROSE-FELKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KIRSTEN
Other - Middle Name:M
Other - Last Name:ROSE-FELKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4401 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-5541
Mailing Address - Fax:412-692-6991
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-5541
Practice Address - Fax:412-692-6991
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-057573208000000X
IL036132372208000000X
PAMD4640332080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics