Individual
DR. KELLIE S SWEET CIESIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
(605) 312-1001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
11282
SD
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
5101015638
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
64510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4513318
—
MI
01
—
CK6240
RAILROAD MEDICARE
—
Enumeration date
01/19/2006
Last updated
02/15/2024
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