Individual
KELLY S BRANDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-4300
Mailing address
353 FAIRMONT BLVD, ATTN MSS, RAPID CITY, SD 57701-7375
(605) 755-8107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001674
SD
Other
Enumeration date
10/04/2019
Last updated
04/14/2021
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