Individual
DR. KELLY ROSCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 HART BLVD STE 100, MONTICELLO, MN 55362-8929
(763) 682-1313
(763) 581-9090
Mailing address
2605 BLUE RIDGE ROAD, SUITE 100, RALEIGH, NC 27607-6475
(919) 881-9009
(919) 881-8463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78062
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
01/29/2025
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