Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Ann Ming, MD

Individual provider Surgery Physician · NPI 1023246915

Dr. Kelly Ann Ming, MD is a General Surgery in Watertown, South Dakota. Qualified in 2009, 17 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Michigan and South Dakota.

Years since qualifying
17
Licensed in
MI, SD
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

901 4th St NW
Watertown, SD 57201-1558
Phone: (605) 886-8471
Fax: (605) 886-9317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9376 (SD)
Surgery Physician Taxonomy 208600000X · Licence 4301095068 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301095068 (MI)

Record details

NPI number1023246915
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2009
Last updated in NPPESDecember 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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