Kitty A. Roark in Shreveport - Prosthetic/orthotic Supplier

Kitty A. Roark - NPI 1134260847

Kitty A. Roark is a Prosthetic/orthotic Supplier in Shreveport, Louisiana. Kitty A. Roark practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Kitty A. Roark is 1134260847. The last update date is 2017-03-31.

Kitty A. Roark's current location address is 855 Pierremont Rd, Shreveport, Louisiana. You can contact this provider via phone number 3188685851 and fax number 3187983348. The mailing address for Kitty A. Roark is 855 Pierremont Rd, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kitty A. Roark
Address 855 Pierremont Rd, Shreveport, Louisiana
Phone Number 3188685851
Fax Number 3187983348
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1134260847
Provider Enumeration Date 2007-02-08
Last Updated Date 2017-03-31

Provider Mailing Address Detail

Address 855 Pierremont Rd
City Shreveport
State Louisiana (LA)
Post Code 711062084
Phone Number 3188685851
Fax Number 3187983348

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
Definition:
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1137383 LA --

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FAQs about Kitty A. Roark

What is the Kitty A. Roark's unique identification number?

The Kitty A. Roark has been assigned the NPI (National Provider Identifier) Number 1134260847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kitty A. Roark's facilities are situated?

The facilities of Kitty A. Roark are physically located at the following address: 855 Pierremont Rd, Shreveport, LA, 711062084.

What is Kitty A. Roark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kitty A. Roark's specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.

When was the Kitty A. Roark's 1134260847 issued?

The Kitty A. Roark's 1134260847 was issued on 2007-02-08.

As of what date were the details pertaining to Kitty A. Roark last refreshed?

The information related to the Kitty A. Roark, including its address, specialty, and other relevant details, was last updated on 2017-03-31.

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