Healthcare Provider Details

I. General information

NPI: 1316259351
Provider Name (Legal Business Name): KESHA UREY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KESHA ELNA HARRIS

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 HICKORY RD SUITE 240
PLYMOUTH MEETING PA
19462-1047
US

IV. Provider business mailing address

3419 PALISADE COVE DR
DULUTH GA
30096-6672
US

V. Phone/Fax

Practice location:
  • Phone: 610-834-1122
  • Fax:
Mailing address:
  • Phone: 252-640-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN307672
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN282721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: