Provider Demographics
NPI:1720896244
Name:THOMAS, KELSIE JO (CD)
Entity type:Individual
Prefix:MRS
First Name:KELSIE
Middle Name:JO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5104
Mailing Address - Country:US
Mailing Address - Phone:605-940-3654
Mailing Address - Fax:
Practice Address - Street 1:1409 E 33RD ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5104
Practice Address - Country:US
Practice Address - Phone:605-940-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula