Provider Information for 1730646191
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Dr. KELEY ANNE SMITH-KELLER LPC
Sex: Female
NPI: 1730646191
Last Updated: 2019-02-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1730646191 | ||||||||
| Enumeration Date | 2019-02-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1901 CEDAR ST YANKTON, SD 57078-2120 United States Phone: 605-670-0407 | Fax: | ||||||||
| Primary Practice Address | 1105 W 8TH ST YANKTON, SD 57078-3725 United States Phone: 605-668-1363 | Fax: | ||||||||
| Secondary Practice Address(es) | 1901 CEDAR ST | ||||||||
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