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1902813652
MARY ELIZABETH KELLY
KYLE, SD
NPI
1902813652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: SD CM000024)
Enumeration Date
2006-08-02
Last Update Date
2021-04-01
Business Address
MARY ELIZABETH KELLY CNM
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Phone number: 605-455-8219
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Mailing Address
MARY ELIZABETH KELLY CNM
1213 1/2 QUINCY ST
RAPID CITY, SD 57701
Phone number: 605-415-8283
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