Roark, Kevin Oneal
Roark, Kevin Oneal is an sole proprietor health care provider with primary practice located at 172 Parkway Plaza Loop , Whitesburg KY 41858. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roark, Kevin Oneal can be contacted via phone (606) 633-4251.Contact Information
Primary practice address
172 Parkway Plaza Loop
Whitesburg KY 41858
Phone: (606) 633-4251
Fax: (606) 633-7166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7398 | Kentucky |
Profile Details
| NPI number | 1952513764 |
|---|---|
| LBN Legal business name | Roark, Kevin Oneal |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Aug 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952513764 | NPPES |
| Kentucky | MEDICAID | 60000668 |
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