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Individual

KELSEY ANN ROTHENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
284 EXECUTIVE PARK DR STE 110, CONCORD, NC 28025-1834
(704) 237-4240
Mailing address
7932 WILBY HOLLOW DR, CHARLOTTE, NC 28270-1824
(704) 807-1033

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00109533
NC

Other

Enumeration date
12/17/2019
Last updated
01/22/2020
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