Kevin Oneal Roark in Whitesburg - General Practice

Kevin Oneal Roark - NPI 1952513764

Kevin Oneal Roark is a General Practice in Whitesburg, Kentucky. Kevin Oneal Roark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Oneal Roark is 1952513764. The last update date is 2016-08-19.

Kevin Oneal Roark's current location address is 172 Parkway Plaza Loop, Whitesburg, Kentucky. You can contact this provider via phone number 6066334251 and fax number 6066337166. The mailing address for Kevin Oneal Roark is 172 Parkway Plaza Loop, Whitesburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Oneal Roark
Address 172 Parkway Plaza Loop, Whitesburg, Kentucky
Phone Number 6066334251
Fax Number 6066337166
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1952513764
Provider Enumeration Date 2007-05-04
Last Updated Date 2016-08-19

Provider Mailing Address Detail

Address 172 Parkway Plaza Loop
City Whitesburg
State Kentucky (KY)
Post Code 41858
Phone Number 6066334251
Fax Number 6066337166

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7398
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60000668 KY --

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FAQs about Kevin Oneal Roark

What is the unique provider identifier assigned to Kevin Oneal Roark?

The Kevin Oneal Roark has been issued the NPI (National Provider Identifier) 1952513764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kevin Oneal Roark is physically located?

The Kevin Oneal Roark is situated at the following address: 172 Parkway Plaza Loop, Whitesburg, KY 41858.

What is the Kevin Oneal Roark's specialty and taxonomy code?

The Kevin Oneal Roark's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952513764 to Kevin Oneal Roark?

The Centers for Medicare & Medicaid Services originally issued the 1952513764 to Kevin Oneal Roark on 2007-05-04.

As of what date was the information regarding Kevin Oneal Roark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kevin Oneal Roark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-19.

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