Individual
KRISTEN ANN SELL-DOTTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
50471
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
60479
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50471
STATE LICENSE
KY
01
—
60479
MEDICAL LICENSE
AZ
05
—
7100486400
—
KY
Enumeration date
04/20/2011
Last updated
09/10/2020
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