Wondercheck, Kelsey Elizabeth
Wondercheck, Kelsey Elizabeth is an individual health care provider with primary practice located at 717 Meade Street Suite 200, Rapid City SD 57701. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wondercheck, Kelsey Elizabeth can be contacted via phone (605) 593-9023.Contact Information
Primary practice address
717 Meade Street Suite 200
Rapid City SD 57701
Phone: (605) 593-9023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D1159 | South Dakota |
Profile Details
| NPI number | 1992225239 |
|---|---|
| LBN Legal business name | Wondercheck, Kelsey Elizabeth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2017 |
| Last updated | May 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992225239 | NPPES |
| South Dakota | Other | D1159 | SOUTH DAKOTA DENTAL LICENSE |
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