Healthcare Provider Details

I. General information

NPI: 1306740378
Provider Name (Legal Business Name): KELSEY SPRECHER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CANYON LAKE DR
RAPID CITY SD
57702-8114
US

IV. Provider business mailing address

2641 MEADOWS DR
STURGIS SD
57785-1701
US

V. Phone/Fax

Practice location:
  • Phone: 605-342-7400
  • Fax:
Mailing address:
  • Phone: 925-997-1562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number201971
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: