Provider Demographics
NPI:1639157159
Name:KELSEY-ROGERS, RIMANI (MD)
Entity Type:Individual
Prefix:DR
First Name:RIMANI
Middle Name:
Last Name:KELSEY-ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RIMANI
Other - Middle Name:
Other - Last Name:KELSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3445 HAMLIN SQ SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7991
Mailing Address - Country:US
Mailing Address - Phone:404-678-9070
Mailing Address - Fax:706-787-2202
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:MEB CLINIC (BLDG 40709)
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-2717
Practice Address - Fax:706-787-2202
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine