Individual
KATY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
(270) 886-0392
Mailing address
830 PEACHERS MILL RD, APT M149, CLARKSVILLE, TN 37042-8448
(419) 332-6697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
03/17/2018
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