Individual provider · Type 1 NPI
Kellie Tedisco
Psychiatric/Mental Health Registered Nurse · Luthersville, GA
NPI number
1780233452
Active
Practice location
129 Kelly Farm Dr
Luthersville, GA 30251-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN231182 (GA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1780233452
Kellie Tedisco's National Provider Identifier is 1780233452, issued on Sep 5, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Luthersville, GA. The record was last updated on Sep 5, 2019.