Individual
SARAH KELLEY-PEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1287246
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
0589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337117000
—
MN
Enumeration date
07/16/2007
Last updated
12/30/2025
Update your record
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