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1144973942
KELSEY NICOLE ROTH
CHARLOTTE, NC
NPI
1144973942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13130)
Enumeration Date
2022-02-01
Last Update Date
2024-07-15
Business Address
KELSEY NICOLE ROTH PA
10660 PARK RD STE 2100
CHARLOTTE, NC 28210-8413
Phone number: 980-442-0410
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Mailing Address
KELSEY NICOLE ROTH PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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