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NPI Code Detail

MEDICARE: MARGARET D KELSEY PHD

MEDICARE: MARGARET D KELSEY PHD
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
1103TC0700XClinical Psychologist327SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14997479OTHERSDBCBS
2411990854OTHERSDTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912978966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET D KELSEY PHD
Provider Business Mailing Address
First Line : 1818 W FULTON ST
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57702-4377
Country : US
Telephone Number : 605-348-6500
Fax Number : 605-341-7409
Provider Business Practice Location Address
First Line : 1818 W FULTON ST
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57702-4377
Country : US
Telephone Number : 605-348-6500
Fax Number : 605-341-7409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2006
Last Update Date : 01/06/2009

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Directions to “ MARGARET D KELSEY PHD” Practice Location

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