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NPI Code Detail

MEDICARE: KELLY RHONE MD

MEDICARE: KELLY RHONE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician22792NE
2207P00000XEmergency Medicine Physician7920SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104492OTHERNEBCBS

General Provider Information

NPI Number : 1467463877
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY RHONE MD
Provider Business Mailing Address
First Line : 4500 N LEWIS AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-7111
Country : US
Telephone Number : 605-606-0275
Fax Number :
Provider Business Practice Location Address
First Line : 4500 N LEWIS AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-7111
Country : US
Telephone Number : 605-606-0275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 02/26/2024

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Directions to “ KELLY RHONE MD” Practice Location

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