Individual
KELSEY MADISON MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-5340
Mailing address
1107 DIAMOND RIDGE BLVD, RAPID CITY, SD 57703-6867
(605) 390-2391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003320
SD
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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