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KELLY PHOMMAHAXAY, M.D.
M.D.
Family Medicine Physician
NPI: 1770997173IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
59533(MN)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
OTHER
Class of 2014
Contact & Hours
Via practice · 3 locations total
- Address
- 1039 MONTGOMERY ST
CUSTER, SD 57730 - Phone
- (605) 673-2229
Quick Facts
- NPI
- 1770997173
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 3
- Years in Practice
- 12
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