Kenneth David Roach in Salt Lake City - Professional
Kenneth David Roach - NPI 1619189628
Kenneth David Roach is a Professional in Salt Lake City, Utah. Kenneth David Roach practices all healthcare services and medical treatments related to Professional. The NPI Number for Kenneth David Roach is 1619189628. The last update date is 2018-10-10.
Kenneth David Roach's current location address is 4190 S Highland Dr Ste 210, Salt Lake City, Utah. You can contact this provider via phone number 8017927028. The mailing address for Kenneth David Roach is 4190 S Highland Dr Ste 210, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth David Roach |
|---|---|
| Address | 4190 S Highland Dr Ste 210, Salt Lake City, Utah |
| Phone Number | 8017927028 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCMHC |
NPI Number Detail
| NPI Number | 1619189628 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2018-10-10 |
Provider Mailing Address Detail
| Address | 4190 S Highland Dr Ste 210 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841242674 |
| Phone Number | 8017927028 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 4909154-6004 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth David Roach by the Centers for Medicare & Medicaid Services?
The Kenneth David Roach has been issued the NPI (National Provider Identifier) 1619189628 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth David Roach is located?
The Kenneth David Roach is situated at the following address: 4190 S Highland Dr Ste 210, Salt Lake City, UT, 841242674.
What is Kenneth David Roach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth David Roach is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
When did Kenneth David Roach receive its 1619189628 assignment?
The Kenneth David Roach was assigned its 1619189628 on 2007-05-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kenneth David Roach most recently updated or revised?
The details related to Kenneth David Roach, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-10.
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