Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Tedisco

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1780233452

Kellie Tedisco is a Psychiatric/Mental Health Registered Nurse in Luthersville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

129 Kelly Farm Dr
Luthersville, GA 30251-1607
Phone: (770) 510-3520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN231182 (GA)

Record details

NPI number1780233452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 5, 2019