KELLY ANN ROTH

URBANA, IL
NPI1346892270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125075293)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
KELLY ANN ROTH MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-4633
Mailing Address
KELLY ANN ROTH MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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