Individual
DR. KELLY SUE ROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2 S MAIN ST, BURNSVILLE, NC 28714-2929
(828) 678-9352
(828) 682-7866
Mailing address
PO BOX 1240, BURNSVILLE, NC 28714-1240
(828) 678-9352
(828) 682-7866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200301048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135R4
BLUE CROSS & BLUE SHEILD
NC
05
—
89135R4
—
NC
Enumeration date
01/25/2006
Last updated
09/15/2009
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