Individual
KELSEY NICOLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13130
NC
363A00000X
Physician Assistant
Primary
11237
AZ
Other
Enumeration date
02/01/2022
Last updated
11/03/2025
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