Roth, Kelly Ann
Roth, Kelly Ann is an sole proprietor health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Roth, Kelly Ann can be contacted via phone (217) 383-4633.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036159787 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036159787 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036159787 | Illinois |
Profile Details
| NPI number | 1346892270 |
|---|---|
| LBN Legal business name | Roth, Kelly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2019 |
| Last updated | Jun 13th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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