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Individual

DR. TIMOTHY A KELSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3501 N SCOTTSDALE RD #160, SCOTTSDALE, AZ 85251
(480) 273-8448
(480) 273-8720
Mailing address
3501 N SCOTTSDALE RD #160, SCOTTSDALE, AZ 85251
(480) 273-8448
(480) 273-8720

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01055967A
IN
207Y00000X
Otolaryngology Physician
Primary
40325
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204011284
BLUE CROSS
01
322201
HEALTHNET
05
445001
AZ
01
P00734496
MEDICARE RR
Enumeration date
10/19/2005
Last updated
11/06/2012
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