KELLY ANN ROTH

URBANA, IL
NPI1346892270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036159787)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036159787)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036159787)
Enumeration Date2019-07-11
Last Update Date2025-06-13
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: