| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PEGGY SUE MORT KELLER | 1205416526 | 2021-04-11 |
Peggy Sue Mort Keller is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205416526. Registration indicates Peggy Sue Mort Keller is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Peggy Sue Mort Keller RN |
| Practice Office Address | 314 E PITTSBURGH ST GREENSBURG, PA US |
| Practice Office Telephone | 7248340960 |
| Mailing Address | 198 TROUTTOWN RD HUNKER, PA 156391288 US |
| Business Telephone | 7243967995 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN614382
PA |