Individual
MARY ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752
(605) 455-8219
(605) 455-1481
Mailing address
1213 1/2 QUINCY ST, RAPID CITY, SD 57701
(605) 415-8283
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CM000024
SD
Other
Enumeration date
08/02/2006
Last updated
04/01/2021
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