Search › Arizona › 207PH0002X

Roger Kelly

NPI 1558941179 · on the registry since 2021

Practice

Address
1215 N Beaver St Ste 203
Flagstaff, AZ 86001
Phone
(928) 773-2200
Organisation at this address
Southwest Heart And Lung Flagstaff
Northern Arizona Healthcare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Additional practice sites

  • 1700 S Tamiami Trl, Sarasota, FL

Registry record

Primary taxonomy
207PH0002X
207PH0002X
Also registered as
207P00000X
Licence states on file
FL, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona