KELLIE R THIESSEN

PINE RIDGE, SD
NPI1346213758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
Mrs. KELLIE R THIESSEN CNM,MS
1201 E. HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-3003
Mailing Address
Mrs. KELLIE R THIESSEN CNM,MS
PO BOX 3055
PINE RIDGE, SD 57770-3055
Phone number: 605-867-2052
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