Roach, Kevin R.

Roach, Kevin R. is an individual health care provider with primary practice located at 1285 Nininger Rd , Hastings MN 55033-1086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roach, Kevin R. can be contacted via phone (651) 480-4200.

Contact Information

Primary practice address
1285 Nininger Rd Hastings MN 55033-1086
Phone: (651) 480-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40335 Minnesota

Profile Details

NPI number 1104895986
LBN Legal business name Roach, Kevin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895986 NPPES
Minnesota Other 020037023 RAILROAD MEDICARE
Minnesota Other 02F64RO RAILROAD MEDICARE
Minnesota Other 32371200 RAILROAD MEDICARE
Minnesota Other 66-02258 RAILROAD MEDICARE
Minnesota Other 764561 RAILROAD MEDICARE
Minnesota Other 942819400 RAILROAD MEDICARE
Minnesota Other NA9141014588 RAILROAD MEDICARE
Minnesota Other 120840 RAILROAD MEDICARE
Minnesota Other HP23558 RAILROAD MEDICARE
Minnesota Other 17-00169 RAILROAD MEDICARE
Minnesota MEDICAID 942819400 RAILROAD MEDICARE

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