Individual
KELLY MICHELE JERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4950 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2864
(605) 330-9619
(605) 330-9503
Mailing address
4950 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2864
(605) 330-9619
(605) 330-9503
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
48874
IA
207N00000X
Dermatology Physician
Primary
5248
SD
207ND0101X
MOHS-Micrographic Surgery Physician
48874
IA
207ND0101X
MOHS-Micrographic Surgery Physician
5248
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900450
—
SD
Enumeration date
07/06/2005
Last updated
02/25/2026
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