Kelly Roth, CPO
NPI 1790209864 · on the registry since 2017
Practice
- Address
- 1450 E Joliet St Ste 206
Crown Point, IN 46307 - Phone
- (219) 801-3937
- Fax
- (219) 301-8734
- Organisation at this address
- Crown Cranial & Orthotics, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Orthotist
222Z00000X
- Also registered as
- Prosthetist
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana