Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Ann Rothenberg, PA-C

Individual provider Medical Physician Assistant · NPI 1083252357

Kelsey Ann Rothenberg, PA-C is a Physician Assistant in Concord, North Carolina. Qualified in 2019, 7 years ago. Practices with Lld Laboratories LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

284 Executive Park Dr Ste 110
Concord, NC 28025-1834
Phone: (704) 237-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 00109533 (NC)

Record details

NPI number1083252357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lld Laboratories Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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