Individual provider · Type 1 NPI
Kevin Roth Roeum, PA-C
Medical Physician Assistant · Silver Spring, MD
NPI number
1306249180
Active
Practice location
13254 Copland Ct
Silver Spring, MD 20904-7105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C05534 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1306249180
Kevin Roth Roeum, PA-C's National Provider Identifier is 1306249180, issued on Oct 7, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Silver Spring, MD. The record was last updated on Oct 7, 2014.