Dr. Patrick Wayne Kelly
Surgeon Vascular Surgeon
1305 W 18th St
Sioux Falls
, South Dakota 57105-0401
Dr. Patrick Wayne Kelly
Surgeon Vascular Surgeon
1305 W 18th St
Sioux Falls
, South Dakota 57105-0401
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Patrick Wayne Kelly
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Phone :
Second Address
- Dr. Patrick Wayne Kelly
- 1305 W 18th St
- Sioux Falls, SD
- Zip : 57105-0401
- Fax : (605) 328-3351
- Phone : (605) 328-3350
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 5251 | SD |
| N | 208600000X | Surgeon | 5251 | SD |
| Y | 2086S0129X | Vascular Surgeon | 5251 | SD |
National Provider Identifier
| NPI | 1134189160 |
|---|---|
| Provider Name | Dr. Patrick Wayne Kelly |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57105-0401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 11/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I06727 | (02) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.