Individual
KELLY MARIE RAGALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(712) 252-2477
(712) 252-5920
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A-105358
IA
363LF0000X
Family Nurse Practitioner
Primary
110826
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110826
NE APRN LICENSE
NE
01
—
A-105358
IA BOARD OF NURSING
IA
Enumeration date
09/16/2006
Last updated
05/13/2025
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