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Individual

KELLY DON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 N KIMBALL #700, MITCHELL, SD 57301
(605) 996-1159
(605) 996-1159
Mailing address
2200 N KIMBALL #700, PO BOX 975, MITCHELL, SD 57301
(605) 996-1159
(605) 996-1159

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5012
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200660
SD
Enumeration date
11/29/2006
Last updated
03/19/2010
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