Provider Demographics
NPI:1225335243
Name:KEHOE, ROSEMARIE (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:KEHOE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:MARTELLI KEHOE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:502 W GERMANTOWN PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1319
Mailing Address - Country:US
Mailing Address - Phone:215-713-3880
Mailing Address - Fax:215-713-3886
Practice Address - Street 1:6952 GERMANTOWN AVE FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2114
Practice Address - Country:US
Practice Address - Phone:215-713-3880
Practice Address - Fax:215-713-3886
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN260869L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse