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Individual
KAYLEE MARIE ROARK
Active
Individual
KAYLEE MARIE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28265706A
IN
363L00000X
Nurse Practitioner
71018271A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71018271A
IN
Other
Enumeration date
08/20/2026
Last updated
10/07/2026
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