KELLY ROSE — Medicare Enrolled Provider (PRACTITIONER - MARRIAGE AND FAMILY THERAPIST, MN)
KELLY ROSE — Medicare Enrolled Provider (PRACTITIONER - MARRIAGE AND FAMILY THERAPIST, MN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KELLY ROSE; Type: Individual; NPI: 1003170143.
| Name | KELLY ROSE |
|---|---|
| Type | Individual |
| NPI | 1003170143 |
| Provider type | PRACTITIONER - MARRIAGE AND FAMILY THERAPIST |
| State | MN |
| Enrollment ID | I20260105000881 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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