Roark, William Kelly

Roark, William Kelly is an individual health care provider with primary practice located at 202 Hospital Dr Ne , Fort Walton Beach FL 32548-5067. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roark, William Kelly can be contacted via phone (850) 343-3131.

Contact Information

Primary practice address
202 Hospital Dr Ne Fort Walton Beach FL 32548-5067
Phone: (850) 343-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2595 Florida

Profile Details

NPI number 1699800417
LBN Legal business name Roark, William Kelly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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