Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly D Dehaven, PA-C

Individual provider Athletic Trainer · NPI 1790241214

Kelly D Dehaven, PA-C is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2022, 4 years ago. Practices with UPMC Community Medicine Inc, a 734-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Delafield Rd
Pittsburgh, PA 15215-3205
Phone: (412) 784-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1790241214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 20, 2019
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Upmc Community Medicine Inc — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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