Individual
KELLY JO MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-5701
(605) 995-5700
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-5701
(605) 995-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001027
SD
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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