Individual
MACKENZIE NICOLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3035 HAMILTON MASON RD STE 206, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 853-1300
Mailing address
3035 HAMILTON MASON RD STE 206, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 853-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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