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Individual

KELLY KATHLEEN PELEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
(706) 576-9714
Mailing address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
(706) 327-1159

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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