Individual
KELLY VAUGHN-WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13975 NECK YOKE RD, RAPID CITY, SD 57702-7314
(605) 341-1300
(605) 341-8785
Mailing address
PO BOX 706, RAPID CITY, SD 57709-0706
(605) 341-1300
(605) 341-8785
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17679
NE
207RC0000X
Cardiovascular Disease Physician
Primary
3531
SD
Other
Enumeration date
08/17/2006
Last updated
06/21/2021
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