Provider Demographics
NPI:1821839077
Name:MORY, KELLEE ANN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KELLEE
Middle Name:ANN
Last Name:MORY
Suffix:
Gender:F
Credentials:FNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 110B
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:798 HAUSMAN RD STE 270
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9103
Practice Address - Country:US
Practice Address - Phone:610-432-6862
Practice Address - Fax:610-432-9705
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP029117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine