Roark, Kineshia Abram
Roark, Kineshia Abram is an individual health care provider with primary practice located at 3720 Hardy St , Hattiesburg MS 39402-1550. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Roark, Kineshia Abram can be contacted via phone (601) 264-2779.Contact Information
Primary practice address
3720 Hardy St
Hattiesburg MS 39402-1550
Phone: (601) 264-2779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3533-10 | Mississippi |
Profile Details
| NPI number | 1417009382 |
|---|---|
| LBN Legal business name | Roark, Kineshia Abram |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | May 5th, 2010 - about 15 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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