Healthcare Provider Details

I. General information

NPI: 1700672193
Provider Name (Legal Business Name): CHRISTOPHER KELLY KEYSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 E 20TH ST
SIOUX FALLS SD
57105-1013
US

IV. Provider business mailing address

610 PERRY LN
HARRISBURG SD
57032-2023
US

V. Phone/Fax

Practice location:
  • Phone: 605-575-1644
  • Fax:
Mailing address:
  • Phone: 952-388-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: