Individual
SUSAN FRANCES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
21 SAINT JOSEPH ST, RAPID CITY, SD 57701-2822
(605) 394-1813
(605) 394-6766
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-1813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026
SD
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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