Kellie Tedisco, - Registered Nurse in Luthersville, GA

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Kellie Tedisco, is a Registered Nurse - Psychiatric/mental Health based in Luthersville, Georgia. Kellie Tedisco is licensed to practice in Georgia (license number RN231182) and her current practice location is 129 Kelly Farm Dr, Luthersville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 510-3520.

NPI number for Kellie Tedisco is 1780233452 and her current mailing address is 129 Kelly Farm Dr, Luthersville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780233452.

Contact Information

Kellie Tedisco,
129 Kelly Farm Dr,
Luthersville, GA 30251-1607
(770) 510-3520
Not Available

Map and Direction




Provider's Profile

Full NameKellie Tedisco
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location129 Kelly Farm Dr, Luthersville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780233452
  • Provider Enumeration Date: 09/05/2019
  • Last Update Date: 09/05/2019

Medical Identifiers

Medical identifiers for Kellie Tedisco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780233452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN231182 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Tedisco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Tedisco,
129 Kelly Farm Dr,
Luthersville, GA 30251-1607

Ph: () -		Kellie Tedisco,
129 Kelly Farm Dr,
Luthersville, GA 30251-1607

Ph: (770) 510-3520

Reviews and Comments


Registered Nurse Nurses in Luthersville, GA


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