Individual provider · Type 1 NPI

Kathy Roark

Customized Equipment (DME) · Las Vegas, NV

NPI number 1154612448 Active

Practice location

4194 Santa Terrasa Pl
Las Vegas, NV 89121-6436

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1154612448

Kathy Roark's National Provider Identifier is 1154612448, issued on Apr 21, 2011. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 21, 2011.