Individual
MS. KELLI JO BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5509 SUNBURST DR, RAPID CITY, SD 57702-8801
(605) 381-0776
Mailing address
3676 E HIGHWAY 44, RAPID CITY, SD 57703-6056
(605) 939-4759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
049-SLP
SD
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
02/24/2026
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