ROGER CASEY KELLY

FLAGSTAFF, AZ
NPI1558941179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PH0002X Emergency Medicine, Hospice and Palliative Medicine
(Licence: AZ  011567)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: FL  OS20414)
Enumeration Date2021-04-08
Last Update Date2025-07-01
Business Address
ROGER CASEY KELLY
1215 N BEAVER ST STE 203
FLAGSTAFF, AZ 86001-3120
Phone number: 928-773-2200
Mailing Address
ROGER CASEY KELLY
1200 N BEAVER ST ATTN: PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235