Kelly Ann Roth is a South Bend, Indiana based Prosthetics. Active license number of Kelly Ann Roth is 213000351 for Orthotics in Illinois. Her current practice location is 17530 Dugdale Dr, South Bend. Patients can reach her at 574-233-3352 or can fax her at 574-288-1514. Kelly Ann Roth NPI number (Unique professional ID assigned by NPPES) is 1790209864. Kelly Ann Roth is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Complete Profile:
Kelly Ann Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Prosthetics
Gender:
Female
Practice Address:
17530 Dugdale Dr, South Bend, Indiana, 46635-1583
Phone:
574-233-3352
Fax:
574-288-1514
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790209864
NPI Enumeration Date:
01 Aug, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Ann Roth are as mentioned below.
License Number
Specialization
State
Status
213000351
Orthotist
Illinois
Primary
211000319
Prosthetics
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
17530 Dugdale Dr, South Bend, Indiana
Zip:
46635-1583
Phone Number:
574-233-3352
Fax Number:
574-288-1514
Patients can reach Kelly Ann Roth at 17530 Dugdale Dr, South Bend, Indiana or can call to book an appointment on 574-233-3352. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.