| Keisha Tully, RN | |
| 
					3054 W Poplar Ridge Rd Nw, Malta, OH 43758-9682  | |
| (740) 973-0058 | |
| (740) 962-3351 | 
| Full Name | Keisha Tully | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse | 
| Location | 3054 W Poplar Ridge Rd Nw, Malta, Ohio | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841522000 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 319249 (Ohio) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keisha Tully, RN 3054 W Poplar Ridge Rd Nw, Malta, OH 43758-9682 Ph: (740) 973-0058  | Keisha Tully, RN 3054 W Poplar Ridge Rd Nw, Malta, OH 43758-9682 Ph: (740) 973-0058  | 
Kaleb Wilkins, APRN-CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 859 South Main St., Malta, OH 43758 Phone: 740-962-6111  | |
Shanna Lee Dew, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1370 N State Route 377 Nw, Malta, OH 43758 Phone: 740-607-3625  | |
Susan Eileen Bunner, CNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111 Fax: 740-962-1657  | |
Melissa Lynn Jones, RN-BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 545 N Riverview Rd, Malta, OH 43758 Phone: 740-651-7689  |