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

Primary practice address
611 W Park St Urbana IL 61801-2529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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