Individual
DR. KEVIN MICHAEL SIMONELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01082938A
IN
207R00000X
Internal Medicine Physician
10412
SD
Other
Enumeration date
03/24/2014
Last updated
09/25/2019
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