Individual
KELSI ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
1323 HOLMES AVE, SHERIDAN, WY 82801-2230
(307) 899-0550
Mailing address
1323 HOLMES AVE, SHERIDAN, WY 82801-2230
(307) 899-0550
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
504452
WY
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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