Kitty D. Roark

NPI 1134260847 - Specialist - 1744P3200X

NPI Details
NPI 1134260847
Gender Female
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
855 PIERREMONT RD
SUITE 126
SHREVEPORT LA, 71106-2084, US
Phone (318) 868-5851
Fax (318) 798-3348
Business Location
855 PIERREMONT RD
SUITE 126
SHREVEPORT LA, 71106-2084, US
Phone (318) 868-5851
Fax (318) 798-3348
Toxanomy
Taxonomy Code 1744P3200X
License State Louisiana
License Number 00193754
Remove 1134260847 NPI Number
 

According to our database, Mrs. Kitty D. Roark NPI is 1134260847, taxonomy code is 1744P3200X and license number is 00193754, license state is located at Louisiana. Kitty D. Roark physically located at 855 Pierremont Rd, Shreveport LA, 71106-2084. NPI Number Kitty D. Roark has the Individual type.

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1134260847 NPI number is provided on an as is basis without warranty of any kind. 1134260847 is maintained by the National Plan & Provider Enumeration System. The contents of Kitty D. Roark are for informational purposes only.