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Individual
KELLY KATHLEEN PELEDGE
Active
Individual
KELLY KATHLEEN PELEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN236326
GA
363L00000X
Nurse Practitioner
Primary
RN236326
GA
363LP0200X
Pediatric Nurse Practitioner
RN236326
GA
Other
Enumeration date
08/11/2018
Last updated
03/18/2020
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