Individual
DR. AMY B KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 W 22ND ST STE 301, SIOUX FALLS, SD 57105-1503
(605) 328-7700
(605) 328-7775
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01061168
IN
207V00000X
Obstetrics & Gynecology Physician
37677
IA
207V00000X
Obstetrics & Gynecology Physician
Primary
8235
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598847154
—
IA
01
—
P00708614
RR MEDICARE
IA
Enumeration date
10/20/2006
Last updated
04/04/2022
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