Individual
KELLY ROSE WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-2226
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(701) 234-2045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002085
SD
363LP0200X
Pediatric Nurse Practitioner
CP002085
SD
Other
Enumeration date
07/31/2021
Last updated
09/11/2021
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