Individual
ELISA AMY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 642-2777
Mailing address
623 DAHL RD, SPEARFISH, SD 57783-2782
(605) 642-2777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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