Individual
MRS. KELSEA ANN PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 343-0650
Mailing address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 343-0650
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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