DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER CASEY KELLY

Active

ROGER CASEY KELLY is a Hospice and Palliative Medicine (EM) healthcare provider located in FLAGSTAFF, Arizona. NPI 1558941179 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine (EM) · FLAGSTAFF, AZ

Registration Details

NPI Number
1558941179
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2021 (5.3488968570042 yrs)
Last Updated
Jul 1, 2025
Licenses
OS20414 (FL)
011567 (AZ)

Practice Information

Address
1215 N BEAVER ST STE 203
FLAGSTAFF, AZ, 860013120
Browse AZ providers · Browse ZIP 86001
Phone
9287732200
Primary Specialty
Hospice and Palliative Medicine (EM)
207PH0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.