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Individual
MR. KEVIN ROA
Active
Individual
MR. KEVIN ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
857971
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
857971
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760195796
—
NV
Enumeration date
09/09/2022
Last updated
06/07/2023
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