Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSIE PEGRAM
ActiveKELSIE PEGRAM is a Family Medicine healthcare provider located in GINOWAN, OKINAWA. NPI 1083141733 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GINOWAN, OKINAWA
Registration Details
- NPI Number
- 1083141733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2017 (9.0784704940118 yrs)
- Last Updated
- Jul 23, 2024
- License
-
30978 (NE)
Practice Information
- Address
-
676 FUTENMANAVAL HOSPITAL OKINAWAGINOWAN, OKINAWA, 9012202Browse OKINAWA providers · Browse ZIP 90122
- Phone
- 8989719355
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.