Individual
CHERYL A ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3907 6TH AVE, KEARNEY, NE 68845-3392
(308) 865-2767
(308) 865-2765
Mailing address
3907 6TH AVE, KEARNEY, NE 68845-3392
(308) 865-2767
(308) 865-2765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47059237913
—
NE
Enumeration date
10/17/2006
Last updated
01/19/2012
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