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Kelly Rottinghaus
Specialist in Jonesboro, Arkansas
NPI 1184047490

Kelly Rottinghaus is a Specialist based in Jonesboro, AR. Kelly Rottinghaus practices in Jonesboro, AR. The NPI Number for Kelly Rottinghaus is 1184047490 and holds a License No. (Arkansas).

The current practice location address for Kelly Rottinghaus is 1801 Grant Ave, Jonesboro, AR and can be reached out via phone at 870-974-9114 and via fax at 870-974-9184.

Location: 1801 Grant Ave, Jonesboro, AR, 72401-6155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184047490
Provider Name
Kelly Rottinghaus
Credential
Provider Entity Type
Individual
Gender
Male
Address
1801 Grant Ave, Jonesboro, AR, 72401-6155
Phone Number
870-974-9114
Fax Number
870-974-9184
Provider Enumeration Date
01/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198473795 05 AR
institution
Provider Business Practice Location Address Details
Address
1801 Grant Ave
City
Jonesboro
State
Arkansas
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
870-974-9184
person
Provider Business Mailing Address Details
Address
1801 Grant Ave
City
Jonesboro
State
Arkansas
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
870-974-9184
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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