Individual
MRS. KELSEY MARIE HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Mailing address
112 BULOW DR, PIERRE, SD 57501-3806
(605) 515-3491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001443
SD
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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